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

Church Avenue Family Dental PC

Organization General Practice Dentistry · NPI 1053584409

Church Avenue Family Dental PC is a General Practice Dentistry in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1025 Church Ave
Brooklyn, NY 11218-2711
Phone: (718) 469-6077
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 050877 (NY)

Record details

NPI number1053584409
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Farshid Assaderaghi — D.D.S · (718) 469-6077
NPI enumeratedApril 7, 2008
Last updated in NPPESApril 7, 2008
Mailing address1025 Church Ave, Brooklyn, NY 11218-2711

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