Mittal, Suresh C

Mittal, Suresh C is an individual health care provider with primary practice located at 153 4Th Ave , Brooklyn NY 11217-3108. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Mittal, Suresh C can be contacted via phone (718) 783-1646.

Contact Information

Primary practice address
153 4Th Ave Brooklyn NY 11217-3108
Phone: (718) 783-1646
Fax: (718) 783-1646
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 033444 New York

Profile Details

NPI number 1205821915
LBN Legal business name Mittal, Suresh C
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 19th, 2005
Last updated Jul 13th, 2026 - about 3 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205821915 NPPES
New York MEDICAID 00297732

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