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

Michael Yusupov, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1255915740

Michael Yusupov, DDS is a Student in an Organized Health Care Education/Training Program in Jamaica, New York. Registered with an NPI since 2021.

In the registry since
2021
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

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone: (917) 740-6862
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1255915740
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMay 10, 2021
Last updated in NPPESMay 10, 2021
Certification dateMay 10, 2021

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