Provider Demographics
NPI:1083027833
Name:OVINGTON DENTISTRY
Entity Type:Organization
Organization Name:OVINGTON DENTISTRY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:A
Authorized Official - Last Name:SETTECASE
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-833-2880
Mailing Address - Street 1:355 OVINGTON AVE
Mailing Address - Street 2:SUITE #101
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1483
Mailing Address - Country:US
Mailing Address - Phone:718-833-2880
Mailing Address - Fax:718-833-2991
Practice Address - Street 1:355 OVINGTON AVE
Practice Address - Street 2:SUITE #101
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11209-1483
Practice Address - Country:US
Practice Address - Phone:718-833-2880
Practice Address - Fax:718-833-2991
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0451391223E0200X, 1223G0001X, 1223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
No1223E0200XDental ProvidersDentistEndodonticsGroup - Multi-Specialty
No1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty