OrganizationActive
Edouard Etlis Dental, P.C.
NPI 1952765828 · General Practice Dentistry · Brooklyn, NY
Edouard Etlis Dental, P.C. is a General Practice Dentistry organization in Brooklyn, NY (NPI 1952765828).
Provider details
- NPI number
- 1952765828
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Edouard Etlis, President(646) 512-2777
- License
- 047627 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(72/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
10 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
9516 Church Ave
Brooklyn, NY 11212-2434
Phone: (718) 495-8801
Street-level locationGet directions
Mailing address
80 Foch Ave
Staten Island, NY 10305-4438
Registry dates
- Enumerated
- 2016-04-07
- Last updated
- 2016-04-07
Frequently asked questions
- What is Edouard Etlis Dental, P.C.'s NPI number?
- Edouard Etlis Dental, P.C.'s National Provider Identifier (NPI) is 1952765828, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Edouard Etlis Dental, P.C.?
- Edouard Etlis Dental, P.C. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Edouard Etlis Dental, P.C. located?
- Edouard Etlis Dental, P.C.'s practice location on file with NPPES is 9516 Church Ave, Brooklyn, NY 11212-2434.
- What is Edouard Etlis Dental, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Edouard Etlis Dental, P.C. is (718) 495-8801.
- Who is the authorized official for Edouard Etlis Dental, P.C.?
- The authorized official listed on Edouard Etlis Dental, P.C.'s NPPES record is Edouard Etlis, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Edouard Etlis Dental, P.C.'s NPI active?
- Yes — Edouard Etlis Dental, P.C.'s NPI (1952765828) is active in the NPPES registry as of the last update on 2016-04-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.