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Provider Information for 1215064928



DR. DEVIN JORDAN PLATT D.D.S.

Gender: MALE

Individual NPI: 1215064928

Calendar Last Updated: 2007-07-08

Details

Name Value
NPI 1215064928
Enumeration Date 2007-02-28
NPI Type 1 - Individual
Sole Proprietor NO
Status Active
Mailing Address 270 FLABUSH AVENUE
BROOKLYN, NY 11217
United States

Phone: 718-622-5144 | Fax: 718-622-4795
View Map External Link
Primary Practice Address 270 FLABUSH AVENUE
BROOKLYN, NY 11217
United States

Phone: 718-622-5144 | Fax: 718-622-4795
View Map External Link
Taxonomy
Primary Taxonomy Selected Taxonomy State License Number
Yes 1223G0001X - Dentist General Practice NY 39379
Other Identifiers
Issuer State Number
Endpoint Information
Endpoint Type Endpoint Endpoint Description Use Content Type Affiliation Endpoint Location