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

Bronx River Dental PC

Organization Dental Therapist · NPI 1336487131

Bronx River Dental PC is a Dental Therapist in Bronx, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3000 Bronx Park E
Bronx, NY 10467-6711
Phone: (718) 655-0075
Fax: (718) 708-6966
Show map & directions

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

Specialties & licences

Dental Therapist (primary) Taxonomy 125J00000X · Licence 046846 (NY)

Record details

NPI number1336487131
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ezro Fattakhov — Doctor/Owner · (718) 456-2626
NPI enumeratedJanuary 29, 2013
Last updated in NPPESNovember 14, 2013
Mailing address3000 Bronx Park E, Bronx, NY 10467-6711