Individual provider · Type 1 NPI

Madison Taylor Ophaug

Pediatric Dentistry · Brooklyn, NY

NPI number 1154064566 Active

Practice location

3710 13th Ave
Brooklyn, NY 11218-3602

Call (718) 686-7600 Map

Specialties and licenses

TaxonomyCodeLicense
Pediatric Dentistry 1223P0221X22DI03020400 (NJ)
Pediatric Dentistry Primary 1223P0221X064415 (NY)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

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About NPI 1154064566

Madison Taylor Ophaug's National Provider Identifier is 1154064566, issued on Apr 14, 2022. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 10, 2025.