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

Edouard Etlis Dental, PC

Organization General Practice Dentistry · NPI 1952765828

Edouard Etlis Dental, PC is a General Practice Dentistry in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
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

9516 Church Ave
Brooklyn, NY 11212-2434
Phone: (718) 495-8801
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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 047627 (NY)

Record details

NPI number1952765828
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edouard Etlis — President · (646) 512-2777
NPI enumeratedApril 7, 2016
Last updated in NPPESApril 7, 2016
Mailing address80 Foch Ave, Staten Island, NY 10305-4438

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