Provider Demographics
NPI:1225343239
Name:ELI ADLER DDS PLLC
Entity Type:Organization
Organization Name:ELI ADLER DDS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ELI
Authorized Official - Middle Name:
Authorized Official - Last Name:ADLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-316-8326
Mailing Address - Street 1:5824 14TH AVENUE
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11219
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5824 14TH AVE
Practice Address - Street 2:SUITE 6
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11219-4623
Practice Address - Country:US
Practice Address - Phone:718-438-8400
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY050803122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty