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

Individual provider General Practice Dentistry · NPI 1023008786

Anzhela Tkachuk, DDS is a General Practice Dentistry in Staten Island, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2005
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

128 Sand Ln 1st Fl
Staten Island, NY 10305-4543
Phone: (718) 273-5006
Fax: (718) 273-2778
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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 050679 (NY)

Record details

NPI number1023008786
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 25, 2005
Last updated in NPPESJuly 8, 2007

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