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

Ik Dental

Organization Dentist · NPI 1104093814

Ik Dental provides Dentist services in New York, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in
NY
In the registry since
2008
Specialties on file
2

Practice location Address checks out

4405 Broadway
New York, NY 10040-4014
Phone: (212) 568-1500
Fax: (855) 201-3647
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Durable Medical Equipment & Medical Supplies (primary) Taxonomy 332B00000X · Licence 045540 (NY)
Dentist Taxonomy 122300000X · Licence 045540 (NY)

Record details

NPI number1104093814
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationYes
Authorized official Igor Klebanov — Autherized Official · (212) 568-1500
Other names Ik Dental
NPI enumeratedMay 12, 2008
Last updated in NPPESJuly 21, 2022
Mailing address4405 Broadway, New York, NY 10040-4014

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