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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1225727985

Jonathan Levi Fayzakov, DDS is a Student in an Organized Health Care Education/Training Program in Forest Hills, New York. Licensed in Connecticut. Registered with an NPI since 2023.

Licensed in
CT
In the registry since
2023
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

10834 67th Dr
Forest Hills, NY 11375
Phone: (347) 982-5717
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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 13907 (CT)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1225727985
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 8, 2023
Last updated in NPPESJuly 7, 2024
Certification dateJuly 7, 2024

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