Provider Demographics
NPI:1073934477
Name:BABABEKOV, ARTUR (DDS)
Entity Type:Individual
Prefix:
First Name:ARTUR
Middle Name:
Last Name:BABABEKOV
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16814 77TH RD
Mailing Address - Street 2:
Mailing Address - City:FRESH MEADOWS
Mailing Address - State:NY
Mailing Address - Zip Code:11366-1335
Mailing Address - Country:US
Mailing Address - Phone:917-498-5545
Mailing Address - Fax:
Practice Address - Street 1:16814 77TH RD
Practice Address - Street 2:
Practice Address - City:FRESH MEADOWS
Practice Address - State:NY
Practice Address - Zip Code:11366-1335
Practice Address - Country:US
Practice Address - Phone:917-498-5545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2014-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY057324122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist