Executive Dental Care Pc is a Dental Clinic in Brooklyn, New York. It is located at 8011 Fifth Avenue, 2nd Floor, Brooklyn, NY and its contact number is 718-748-6847. The authorized person for Executive Dental Care Pc is Dr. James M Wallett
who is Owner of the clinic and their contact number is 718-748-6847. The primary license number for Executive Dental Care Pc is 03663901 (Dentist) in New York.
Executive Dental Care Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Executive Dental Care Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
| Name: | Executive Dental Care Pc |
| Specialization: | Dentistry |
| Clinic Address: | 8011 Fifth Avenue, 2nd Floor, Brooklyn,
New York, 11209 |
| Phone: | 718-748-6847 |
| Fax: | 718-748-0329 |
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
| Name: | Dr. James M Wallett |
| Position: | Owner |
| Contact Number: | 718-748-6847 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Executive Dental Care Pc clinic are as mentioned below.
| NPI Number: | 1700071602 |
| NPI Enumeration Date: | 13 Sep, 2007 |
| NPI Last Update On: | 13 Sep, 2007 |
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Executive Dental Care Pc are as mentioned below.
| Specialization | License Number | State | Status | |
| Dentist | 03663901 | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 00759435 | Medicaid | New York | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Executive Dental Care Pc
Po Box 90507, 8011 Fifth Avenue 2nd Floor
Brooklyn, New York |
| Zip: | 11209 |
| Phone Number: | 718-748-6847 |
| Fax Number: | 718-748-0329 |
Patients can reach Executive Dental Care Pc at
8011 Fifth Avenue, 2nd Floor, Brooklyn, New York or can
call to book an appointment on 718-748-6847.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.