What is Edouard Etlis's NPI number?

Edouard Etlis's National Provider Identifier (NPI) is 1013937416, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Edouard Etlis's specialty?

Edouard Etlis is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).

Where is Edouard Etlis located?

Edouard Etlis's practice location on file with NPPES is 3030 Ocean Ave, Brooklyn, NY 11235-3363.

What is Edouard Etlis's phone number?

The practice phone number listed in the NPPES registry for Edouard Etlis is (718) 769-5379.

Is Edouard Etlis's NPI active?

Yes — Edouard Etlis's NPI (1013937416) is active in the NPPES registry as of the last update on 2007-07-08.

IndividualActive

Edouard Etlis, DDS

NPI 1013937416 · General Practice Dentistry · Brooklyn, NY

Edouard Etlis, DDS is a General Practice Dentistry provider in Brooklyn, NY (NPI 1013937416).

Provider details

NPI number: 1013937416
Entity type: Individual
Primary specialty: General Practice DentistryDental Providers
Credential: DDS
Sex: Male
Sole proprietor: Yes
License: 047627 (NY)

Specialties & taxonomies

General Practice DentistryPrimary1223G0001XLicense 047627 (NY)
Dental Providers

Profile Score

Detailed profile(91/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
19 yrs in NPPES registry
Profile completeness38% of score
100% of core fields populated
Practice footprint23% of score
1 documented practice location

Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

Practice location

3030 Ocean Ave

Suite Aa

Brooklyn, NY 11235-3363

Phone: (718) 769-5379

Fax: (718) 769-2365

Street-level locationGet directions

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Mailing address