Provider Demographics
NPI:1801840061
Name:FRANKEL WOODS DENTAL, P.C.
Entity Type:Organization
Organization Name:FRANKEL WOODS DENTAL, P.C.
Other - Org Name:CITYWIDE DENTAL CARE SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DMITRIY
Authorized Official - Middle Name:Y
Authorized Official - Last Name:VOLOTSENKO
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-872-0460
Mailing Address - Street 1:2300 W 7TH ST
Mailing Address - Street 2:1 FLOOR
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-4628
Mailing Address - Country:US
Mailing Address - Phone:718-872-0460
Mailing Address - Fax:718-872-0463
Practice Address - Street 1:2300 W 7TH ST
Practice Address - Street 2:1 FLOOR
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-4628
Practice Address - Country:US
Practice Address - Phone:718-872-0460
Practice Address - Fax:718-872-0463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02473921Medicaid