Dr. Ezro Fattakhov is a Forest Hills, New York based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Ezro Fattakhov is
046846 for General Practice Dentistry in New York. His current practice location is
10510 62nd Rd, Apt 1f, Forest Hills. Patients can reach him at
718-760-8400.
Dr. Ezro Fattakhov is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Ezro Fattakhov speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Ezro Fattakhov |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 10510 62nd Rd, Apt 1f, Forest Hills,
New York, 11375-1137 |
| Phone: | 718-760-8400 |
| Fax: | 718-760-8114 |
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 are as mentioned below.
| NPI Number: | 1811046741 |
| NPI Enumeration Date: | 09 Jan, 2007 |
| NPI Last Update On: | 08 Jul, 2007 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Ezro Fattakhov are as mentioned below.
| License Number | Specialization | State | Status | |
| 046846 | General Practice Dentistry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Ezro Fattakhov such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01773835 | Medicaid | New York | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 9926 64th Rd,
Rego Park, New York |
| Zip: | 11374-2646 |
| Phone Number: | 718-830-9091 |
Patients can reach Dr. Ezro Fattakhov at
10510 62nd Rd, Apt 1f, Forest Hills, New York or can
call to book an appointment on 718-760-8400.
Comments/ Reviews:
Read all the reviews posted for Dr. Ezro Fattakhov below. You may also share your own experience with Dr. Ezro Fattakhov. Your feedback can help others make better decisions.
**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.