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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1316863434

Dr. Dan Avshalomov, DDS is a Student in an Organized Health Care Education/Training Program in Bronx, New York. Registered with an NPI since 2026.

In the registry since
2026
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

1775 Grand Concourse Fl 6
Bronx, NY 10453-8202
Phone: (516) 244-0389
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1316863434
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 24, 2026
Last updated in NPPESJune 24, 2026
Certification dateJune 24, 2026
Mailing address6530 108th St Apt 2a, Forest Hills, NY 11375-2201

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