OrganizationActive
Bronx River Dental P.C.
NPI 1336487131 · Dental Therapist · Bronx, NY
Bronx River Dental P.C. is a Dental Therapist organization in Bronx, NY (NPI 1336487131).
Provider details
- NPI number
- 1336487131
- Entity type
- Organization
- Primary specialty
- Dental TherapistDental Providers
- Organization subpart
- No
- Authorized official
- Ezro Fattakhov, Doctor/Owner(718) 456-2626
- License
- 046846 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
3000 Bronx Park E
Bronx, NY 10467-6711
Phone: (718) 655-0075
Fax: (718) 708-6966
Street-level locationGet directions
Mailing address
3000 Bronx Park E
Bronx, NY 10467-6711
Registry dates
- Enumerated
- 2013-01-29
- Last updated
- 2013-11-14
Frequently asked questions
- What is Bronx River Dental P.C.'s NPI number?
- Bronx River Dental P.C.'s National Provider Identifier (NPI) is 1336487131, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bronx River Dental P.C.?
- Bronx River Dental P.C. is classified in the NPPES registry as Dental Therapist (Dental Providers).
- Where is Bronx River Dental P.C. located?
- Bronx River Dental P.C.'s practice location on file with NPPES is 3000 Bronx Park E, Bronx, NY 10467-6711.
- What is Bronx River Dental P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Bronx River Dental P.C. is (718) 655-0075.
- Who is the authorized official for Bronx River Dental P.C.?
- The authorized official listed on Bronx River Dental P.C.'s NPPES record is Ezro Fattakhov, Doctor/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bronx River Dental P.C.'s NPI active?
- Yes — Bronx River Dental P.C.'s NPI (1336487131) is active in the NPPES registry as of the last update on 2013-11-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.