1037 Fulton Street Dental PC
NPI 1366926891ActiveOrganization· Dentist· Farmingdale, NY
Dentist in Farmingdale, New York, registered in NPPES in September 2018. The authorized official on file is John Davydov, Director.
Overview
| NPI | 1366926891 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 20, 2018 |
| Last updated in NPPES | Oct 23, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Dentist Primary | 122300000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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