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

Edouard Etlis, DDS

Individual provider General Practice Dentistry · NPI 1013937416

Edouard Etlis, DDS is a General Practice Dentistry in Brooklyn, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2006
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

3030 Ocean Ave Ste AA
Brooklyn, NY 11235-3363
Phone: (718) 769-5379
Fax: (718) 769-2365
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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 number1013937416
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 8, 2007
Mailing address3030 Ocean Ave, Suite Aa, Brooklyn, NY 11235-3363

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