Organization
J.S. ATLANTIC DENTAL P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH GREGORY SHYKNEVSKY D.D.S. (PRESIDENT)
(718) 339-0627
Entity
Organization
Contact information
Practice address
1637 EAST 17TH ST. 2ND FLOOR, J.S. ATLANTIC DENTAL P.C., BROOKLYN, NY 11229-7035
(718) 339-0627
(718) 339-0466
Mailing address
PO BOX 297035, J.S. ATLANTIC DENTAL, BROOKLYN, NY 11229-7035
(718) 339-0627
(718) 339-0466
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
047193
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01804791
—
NY
Enumeration date
02/23/2007
Last updated
08/22/2020
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