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

Dr. Ezro Fattakhov, DDS

Individual provider General Practice Dentistry · NPI 1811046741

Dr. Ezro Fattakhov, DDS is a General Practice Dentistry in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

10510 62nd Rd Apt 1F
Forest Hills, NY 11375-1137
Phone: (718) 760-8400
Fax: (718) 760-8114
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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 046846 (NY)

Record details

NPI number1811046741
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJanuary 9, 2007
Last updated in NPPESJuly 8, 2007

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