Provider Demographics
NPI:1508642067
Name:MODERN DENTISTRY VAS OF BROOKLYN, PLLC
Entity Type:Organization
Organization Name:MODERN DENTISTRY VAS OF BROOKLYN, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINCENT
Authorized Official - Middle Name:ANTHONY
Authorized Official - Last Name:SETTECASE
Authorized Official - Suffix:SR
Authorized Official - Credentials:DDS
Authorized Official - Phone:347-909-2848
Mailing Address - Street 1:355 OVINGTON AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11209-1457
Mailing Address - Country:US
Mailing Address - Phone:718-836-7109
Mailing Address - Fax:
Practice Address - Street 1:1997 OCEAN AVE
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11230-7385
Practice Address - Country:US
Practice Address - Phone:718-339-6000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-31
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223D0001XDental ProvidersDentistDental Public HealthGroup - Multi-Specialty