IndividualActive
Avraham Kolontarov
NPI 1336763614 · Public Health Dentistry · Brooklyn, NY
Provider details
- NPI number
- 1336763614
- Entity type
- Individual
- Primary specialty
- Public Health DentistryDental Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 061926 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(69/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
1502 E 14th St
Brooklyn, NY 11230-7283
Phone: (718) 709-4611
Street-level locationGet directions
Mailing address
8410 126th St Apt 2
Kew Gardens, NY 11415-2206
Additional practice locations (1)
- 5645 Main StFlushing, NY 11355-5045Phone: (347) 430-7582
Registry dates
- Enumerated
- 2020-06-03
- Last updated
- 2023-12-07
- Certified
- 2023-12-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.