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

Individual provider Dentist · NPI 1760054969

Jeff Buizastrow, DDS is a Dentist in Brooklyn, New York. Practices as a sole proprietor. Licensed in California and New York.

Licensed in
CA, NY
In the registry since
2021
Specialties on file
2
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

615 Bay Ridge Pkwy # 3329
Brooklyn, NY 11209-3329
Phone: (718) 745-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence 065014 (NY)
Dentist Taxonomy 122300000X · Licence 107613 (CA)

Record details

NPI number1760054969
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedJuly 15, 2021
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025
Mailing address205 Wicker, Irvine, CA 92618-1170

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