Provider Demographics
NPI:1245395490
Name:POINDEXTER, AYANNA F (DMD)
Entity Type:Individual
Prefix:DR
First Name:AYANNA
Middle Name:F
Last Name:POINDEXTER
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 LAFAYETTE AVE
Mailing Address - Street 2:LOBBY M
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-1240
Mailing Address - Country:US
Mailing Address - Phone:718-638-3232
Mailing Address - Fax:718-638-7527
Practice Address - Street 1:309 LAFAYETTE AVE
Practice Address - Street 2:LOBBY M
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-1240
Practice Address - Country:US
Practice Address - Phone:718-638-3232
Practice Address - Fax:718-638-7527
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0509851223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice