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

Boris Suleymanov

Individual provider General Practice Dentistry · NPI 1417502725

Boris Suleymanov is a General Practice Dentistry in Phoenix, Arizona. Works from 2 locations. Licensed in Arizona and New York.

Licensed in
AZ, NY
In the registry since
2019
Specialties on file
2
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Practice location Address checks out

5225 N 19th Ave # Uintc
Phoenix, AZ 85015-2903
Phone: (602) 433-0313
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 9424 63rd Dr, Rego Park, NY 11374-2028 — (718) 275-4545

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 011036 (AZ)
General Practice Dentistry Taxonomy 1223G0001X · Licence 060434-01 (NY)

Record details

NPI number1417502725
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 4, 2019
Last updated in NPPESFebruary 3, 2022
Certification dateFebruary 3, 2022
Mailing address5225 N 19th Ave # Uintc, Phoenix, AZ 85015-2903

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