Organization
MADISON HAPPY SMILES DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT FATAKHOV DDS (OWNER)
(917) 565-6883
Entity
Organization
Contact information
Practice address
20 E 35TH ST, 2A DENTAL, NEW YORK, NY 10016-3887
(917) 565-6883
(917) 565-6883
Mailing address
9936 62ND DR, REGO PARK, NY 11374-1938
(917) 565-6883
(917) 565-6883
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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