- Practice location
- 79 Avenue U, Brooklyn, NY 11223-3554
- Phone
- 718-373-6707
- Fax
- 888-292-7017
- Last updated
- August 31, 2020
Avenue U Orthodontics, PLLC is a healthcare organization based in Brooklyn, NY. Avenue U Orthodontics, PLLC practices in Brooklyn, NY. The NPI Number for Avenue U Orthodontics, PLLC is 1164575478 and holds a License No. DI20707 (NJ). The current practice location address for Avenue U Orthodontics, PLLC is 79 Avenue U, Brooklyn, NY 11223-3554 and can be reached out via phone at 718-373-6707 and via fax at 888-292-7017.
Provider Profile Details
- NPI Number
- 1164575478
- Provider Name
- Avenue U Orthodontics, PLLC
- Provider Entity Type
- Organization
- Address
- 79 Avenue U, Brooklyn, NY 11223-3554
- Phone Number
- 718-373-6707
- Fax Number
- 888-292-7017
- Primary Taxonomy
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Organization Subpart
- No
- Authorized Official
- Dr. Oleg Drut, DDS · Owner · 201-308-8181
- Other Names
- Orthoclub PC (Former Legal Business Name)
- Provider Enumeration Date
- January 19, 2007
- Last Update Date
- August 31, 2020
- Certification Date
- August 31, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 79 Avenue U
Brooklyn, NY 11223-3554 - City
- Brooklyn
- State
- New York
- Zip
- 11223-3554
- Phone Number
- 718-373-6707
- Fax Number
- 888-292-7017
Provider Business Mailing Address Details
- Address
- 15 Engle Street
Suite 204
Englewood, NJ 07631-2936 - City
- Englewood
- State
- NJ
- Zip
- 07631-2936
- Phone Number
- 201-308-8181
- Fax Number
- 888-292-7017
License Information
- License Number (1)
- DI20707
- License State (1)
- NJ
- Taxonomy (1)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X
- Taxonomy (2)
- Dentist, Orthodontics and Dentofacial Orthopedics · 1223X0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Dentist, Orthodontics and Dentofacial Orthopedics providers near Brooklyn, NY
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- Dr. Courtney Fong, DMDDentist, Orthodontics and Dentofacial Orthopedics · NPI 1518152230
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- Dr. Marc I Schiller, DDSDentist, Orthodontics and Dentofacial Orthopedics · NPI 1841397544
Frequently Asked Questions
What is the NPI number of Avenue U Orthodontics, PLLC?
The NPI number of Avenue U Orthodontics, PLLC is 1164575478. It was assigned on January 19, 2007 and is currently active in the NPPES registry.
What is the specialty of Avenue U Orthodontics, PLLC?
Avenue U Orthodontics, PLLC is registered under the primary taxonomy Dentist, Orthodontics and Dentofacial Orthopedics (code 1223X0400X), licensed in NJ under license number DI20707.
Where does Avenue U Orthodontics, PLLC practice?
The practice location is 79 Avenue U, Brooklyn, NY 11223-3554. The office can be reached at 718-373-6707 (phone) or 888-292-7017 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164575478 directly on the NPPES registry website.