- Practice location
- 1725 Sheepshead Bay RD, Brooklyn, NY 11235
- Phone
- 718-743-0299
- Fax
- 718-743-1468
- Last updated
- September 4, 2018
Olga Degtyareva is a Dentist, General Practice based in Brooklyn, NY. Olga Degtyareva practices in Brooklyn, NY and has the professional credentials of DDS. The NPI Number for Olga Degtyareva is 1184153009 and holds a License No. 059865 (NY). The current practice location address for Olga Degtyareva is 1725 Sheepshead Bay RD, Brooklyn, NY 11235 and can be reached out via phone at 718-743-0299 and via fax at 718-743-1468.
Provider Profile Details
- NPI Number
- 1184153009
- Provider Name
- Olga Degtyareva
- Credential
- DDS
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1725 Sheepshead Bay RD, Brooklyn, NY 11235
- Phone Number
- 718-743-0299
- Fax Number
- 718-743-1468
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 5, 2017
- Last Update Date
- September 4, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1725 Sheepshead Bay RD
Brooklyn, NY 11235 - City
- Brooklyn
- State
- New York
- Zip
- 11235
- Phone Number
- 718-743-0299
- Fax Number
- 718-743-1468
Provider Business Mailing Address Details
- Address
- 1725 Sheepshead Bay RD
Brooklyn, NY 11235-3606 - City
- Brooklyn
- State
- NY
- Zip
- 11235-3606
- Phone Number
- 718-743-0299
- Fax Number
- 718-743-1468
License Information
- Taxonomy (1)
- Student in an Organized Health Care Education/Training Program · 390200000X
- License Number (2)
- 059865
- License State (2)
- NY
- Taxonomy (2)
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Olga Degtyareva, DDS?
The NPI number of Dr. Olga Degtyareva, DDS is 1184153009. It was assigned on June 5, 2017 and is currently active in the NPPES registry.
What is the specialty of Dr. Olga Degtyareva, DDS?
Dr. Olga Degtyareva, DDS is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X), licensed in NY under license number 059865.
Where does Dr. Olga Degtyareva, DDS practice?
The practice location is 1725 Sheepshead Bay RD, Brooklyn, NY 11235. The office can be reached at 718-743-0299 (phone) or 718-743-1468 (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 1184153009 directly on the NPPES registry website.