| Gama Dental Pc | |
|
270 Avenue P Brooklyn NY 11204-4947 | |
| (718) 375-9090 | |
| (718) 375-6618 |
| Full Name | Gama Dental Pc |
|---|---|
| Speciality | Dentist |
| Location | 270 Avenue P, Brooklyn, New York |
| Authorized Official Name and Position | Maksim Khelemsky (PRESIDENT) |
| Authorized Official Contact | 7183759090 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Gama Dental Pc 270 Avenue P Brooklyn NY 11204-4947 Ph: (718) 375-9090 | Gama Dental Pc 270 Avenue P Brooklyn NY 11204-4947 Ph: (718) 375-9090 |
| NPI Number | 1568697746 |
|---|---|
| Provider Enumeration Date | 05/18/2009 |
| Last Update Date | 05/18/2009 |
| Medicare PECOS PAC ID | 9830565647 |
|---|---|
| Medicare Enrollment ID | O20221019002579 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568697746 | NPI | - | NPPES |
| 01421021 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 044836 (New York) | Primary |
| Provider Name | Maksim Khelemsky |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1982705067 PECOS PAC ID: 1658747464 Enrollment ID: I20221020001916 |
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