Organization
CHURCH AVE ORTHODONTICS, LLC
Active
Organization
CHURCH AVE ORTHODONTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG DRUT DDS (OWNER)
(718) 282-8222
Entity
Organization
Contact information
Practice address
2848 CHURCH AVE, 2ND FLOOR, BROOKLYN, NY 11226-4106
(718) 282-8222
(718) 282-8244
Mailing address
2848 CHURCH AVE, 2ND FLOOR, BROOKLYN, NY 11226-4106
(718) 282-8222
(718) 282-8244
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DI20707
NJ
Other
Enumeration date
02/25/2009
Last updated
02/25/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up