Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Gentle Dental Church Avenue PLLC

Organization Dentist · NPI 1295266930

Gentle Dental Church Avenue PLLC provides Dentist services in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4711 Church Ave 2nd Fl Dental Ste
Brooklyn, NY 11203-3209
Phone: (718) 485-4111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 054434 (NY)
Dentist Taxonomy 122300000X · Licence 051345 (NY)

Record details

NPI number1295266930
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Fatakhov — Owner · (718) 485-4111
Other names Gentle Dental
NPI enumeratedMarch 24, 2017
Last updated in NPPESMarch 24, 2017
Mailing address4711 Church Ave, 2nd Floor, Dental Suite, Brooklyn, NY 11203-3209

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