Active NPIIndividual providerSole proprietor

Dr. Endale M Tefera, DDS

Dentist in Brooklyn, New York

NPI Number1417004102
Practice location
944 Nostrand Ave, Brooklyn, NY 11225-3053
Fax
718-778-2025
Last updated
July 8, 2007

Endale Mulat Tefera is a Dentist based in Brooklyn, NY. Endale Mulat Tefera practices in Brooklyn, NY and has the professional credentials of DDS. The NPI Number for Endale Mulat Tefera is 1417004102 and holds a License No. 042545 (NY). The current practice location address for Endale Mulat Tefera is 944 Nostrand Ave, Brooklyn, NY 11225-3053 and can be reached out via phone at 718-778-3000 and via fax at 718-778-2025.

Provider Profile Details

NPI Number
1417004102
Provider Name
Endale Mulat Tefera
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
944 Nostrand Ave, Brooklyn, NY 11225-3053
Phone Number
718-778-3000
Fax Number
718-778-2025
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
Yes
Provider Enumeration Date
January 4, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
944 Nostrand Ave
Brooklyn, NY 11225-3053
Zip
11225-3053
Phone Number
718-778-3000
Fax Number
718-778-2025
Brooklyn, NY 11225Get directions →

Provider Business Mailing Address Details

Address
444 Vose Ave
South Orange, NJ 07079-3033
City
South Orange
State
NJ
Zip
07079-3033
Phone Number
973-275-0748
Fax Number
718-778-2025

License Information

License Number
042545
License State
NY
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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. Endale M Tefera, DDS?

The NPI number of Dr. Endale M Tefera, DDS is 1417004102. It was assigned on January 4, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Endale M Tefera, DDS?

Dr. Endale M Tefera, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in NY under license number 042545.

Where does Dr. Endale M Tefera, DDS practice?

The practice location is 944 Nostrand Ave, Brooklyn, NY 11225-3053. The office can be reached at 718-778-3000 (phone) or 718-778-2025 (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 1417004102 directly on the NPPES registry website.

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