Boris Davydov

Dentist · Flushing, NY

Individual Active NPI

NPI number 1699267955

Practice location

5645 Main St
Flushing, NY 11355-5045
Phone
(718) 670-2000

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NPI record

NPI
1699267955
Entity type
Individual (Type 1)
Enumeration date
June 3, 2018
Last updated
August 13, 2019
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 12611 CT
Student in an Organized Health Care Education/Training Program 390200000X — —

Mailing address

10849 63rd Ave Apt 1p
Forest Hills, NY 11375-1360
Phone
(347) 702-3054

About Boris Davydov

Boris Davydov is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 5645 Main St, Flushing, NY 11355-5045. The NPI number 1699267955 was assigned on June 3, 2018 and the record was last updated on August 13, 2019.

Boris Davydov lists a license in the registry: #12611 (CT) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Boris Davydov?

The NPI number is 1699267955.

What is the phone number of Boris Davydov?

The phone number listed for the practice location is (718) 670-2000.

Where is Boris Davydov located?

5645 Main St, Flushing, NY 11355-5045.

What is the taxonomy code for Boris Davydov?

The primary taxonomy code is 122300000X – Dentist; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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