Provider Demographics
NPI:1023197829
Name:AMARTEIFIO, NOTCHER AMARKAI (DDS)
Entity Type:Individual
Prefix:
First Name:NOTCHER
Middle Name:AMARKAI
Last Name:AMARTEIFIO
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:DR
Other - First Name:NOTCHER
Other - Middle Name:AMARKAI
Other - Last Name:AMARTEIFIO
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DDS
Mailing Address - Street 1:200 BETHEL LOOP APT 4H
Mailing Address - Street 2:200 BETHEL LOOP APT 4H
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11239-1716
Mailing Address - Country:US
Mailing Address - Phone:718-942-0959
Mailing Address - Fax:
Practice Address - Street 1:100 N PORTLAND AVE
Practice Address - Street 2:C.D.T.C--DENTAL-3RD .FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11205-2005
Practice Address - Country:US
Practice Address - Phone:718-260-7575
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0509211223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice