Provider Demographics
NPI:1477382869
Name:SOLOMON DENTAL PLLC
Entity type:Organization
Organization Name:SOLOMON DENTAL PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SOLOMON
Authorized Official - Middle Name:DAVIDOVICH
Authorized Official - Last Name:BORUKHOV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-550-3541
Mailing Address - Street 1:14305 41ST AVE APT 1I
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-1801
Mailing Address - Country:US
Mailing Address - Phone:718-550-3541
Mailing Address - Fax:718-321-0531
Practice Address - Street 1:14305 41ST AVE APT 1I
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-1801
Practice Address - Country:US
Practice Address - Phone:718-550-3541
Practice Address - Fax:718-321-0531
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-01
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty