Provider Demographics
NPI:1225343015
Name:QUIET DENTAL PC
Entity Type:Organization
Organization Name:QUIET DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:SLOBODSKI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-259-3828
Mailing Address - Street 1:2102 BAY RIDGE PKWY
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11204-5945
Mailing Address - Country:US
Mailing Address - Phone:718-259-3828
Mailing Address - Fax:718-837-1340
Practice Address - Street 1:2102 BAY RIDGE PKWY
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11204-5945
Practice Address - Country:US
Practice Address - Phone:718-259-3828
Practice Address - Fax:718-837-1340
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-17
Last Update Date:2010-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0428861223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty