Edouard Etlis is a Brooklyn, 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 Edouard Etlis is
047627 for General Practice Dentistry in New York. His current practice location is
3030 Ocean Ave, Suite Aa, Brooklyn. Patients can reach him at
718-769-5379.
Edouard Etlis 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:
Edouard Etlis 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: | Edouard Etlis |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 3030 Ocean Ave, Suite Aa, Brooklyn,
New York, 11235-3363 |
| Phone: | 718-769-5379 |
| Fax: | 718-769-2365 |
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: | 1013937416 |
| NPI Enumeration Date: | 20 Jul, 2006 |
| 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 Edouard Etlis are as mentioned below.
| License Number | Specialization | State | Status | |
| 047627 | General Practice Dentistry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Edouard Etlis such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 01855843 | Medicaid | New York | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 3030 Ocean Ave, Suite Aa
Brooklyn, New York |
| Zip: | 11235-3363 |
| Phone Number: | 718-769-5379 |
| Fax Number: | 718-769-2365 |
Patients can reach Edouard Etlis at
3030 Ocean Ave, Suite Aa, Brooklyn, New York or can
call to book an appointment on 718-769-5379.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.