Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

4th Avenue Dental

Organization General Practice Dentistry · NPI 1295009447

4th Avenue Dental is a General Practice Dentistry in Brooklyn, New York. Licensed in New Jersey and New York. Registered with an NPI since 2012.

Licensed in
NJ, NY
In the registry since
2012
Specialties on file
2

Practice location Address checks out

5404 4th Ave
Brooklyn, NY 11220-3006
Phone: (718) 439-2876
Fax: (718) 439-2879
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 18369 (NJ)
General Practice Dentistry Taxonomy 1223G0001X · Licence 027990 (NY)

Record details

NPI number1295009447
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Andrew Maron — Owner · (718) 439-2876
NPI enumeratedMarch 6, 2012
Last updated in NPPESMarch 6, 2012
Mailing address5404 4th Ave, Brooklyn, NY 11220-3006

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