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

Jack Kohanzadeh, DMD

Individual provider General Practice Dentistry · NPI 1750567046

Jack Kohanzadeh, DMD is a General Practice Dentistry in Great Neck, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2008
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

233 E Shore Rd Ste # 107
Great Neck, NY 11023-2433
Phone: (516) 482-7557
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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 NY034044 (NY)

Record details

NPI number1750567046
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJanuary 16, 2008
Last updated in NPPESJanuary 16, 2008
Mailing address233 E Shore Rd, Suite # 107, Great Neck, NY 11023-2433

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