Provider Demographics
NPI:1659381820
Name:TEMBA, FLORENCE JOSEPH (DDS)
Entity Type:Individual
Prefix:
First Name:FLORENCE
Middle Name:JOSEPH
Last Name:TEMBA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:702 E 37TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11203-5604
Mailing Address - Country:US
Mailing Address - Phone:718-284-4824
Mailing Address - Fax:
Practice Address - Street 1:2060 E 19TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-3943
Practice Address - Country:US
Practice Address - Phone:718-336-3829
Practice Address - Fax:718-336-3858
Is Sole Proprietor?:No
Enumeration Date:2006-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY047477-11223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01856413Medicaid
NYU97544Medicare UPIN
NY01856413Medicaid