Provider Demographics
NPI:1255541066
Name:BELENKIY DENTAL P.C.
Entity type:Organization
Organization Name:BELENKIY DENTAL P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SERGEY
Authorized Official - Middle Name:B
Authorized Official - Last Name:BELENKIY
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:718-622-8020
Mailing Address - Street 1:10 PLAZA ST E
Mailing Address - Street 2:SUITE 1F
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11238-4954
Mailing Address - Country:US
Mailing Address - Phone:718-622-8020
Mailing Address - Fax:718-622-8030
Practice Address - Street 1:10 PLAZA ST E
Practice Address - Street 2:SUITE 1F
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11238-4954
Practice Address - Country:US
Practice Address - Phone:718-622-8020
Practice Address - Fax:718-622-8030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0483761223G0001X
NY0483441223G0001X
NY0496541223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty
Not Answered1223P0300XDental ProvidersDentistPeriodonticsGroup - Multi-Specialty