Organization
SPECIALTY DENTAL OF GREENPOINT, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES J PTAK JR. D.D.S. (PRESIDENT)
(718) 383-0933
Entity
Organization
Contact information
Practice address
92 NORMAN AVE, BROOKLYN, NY 11222-2934
(718) 383-0933
(718) 349-0930
Mailing address
92 NORMAN AVE, BROOKLYN, NY 11222-2934
(718) 383-0933
(718) 349-0930
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
0522391
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
034744
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00782729
—
NY
Enumeration date
01/20/2007
Last updated
09/11/2025
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