Provider Demographics
NPI:1437028404
Name:ELLA DEKHTYAR DDS PA
Entity type:Organization
Organization Name:ELLA DEKHTYAR DDS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ELLA
Authorized Official - Middle Name:
Authorized Official - Last Name:DEKHTYAR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:347-267-8626
Mailing Address - Street 1:3144 EMMONS AVE APT 108
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11235-1784
Mailing Address - Country:US
Mailing Address - Phone:347-267-8626
Mailing Address - Fax:
Practice Address - Street 1:14771 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-1217
Practice Address - Country:US
Practice Address - Phone:305-816-6620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-30
Last Update Date:2025-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty