Individual provider · Type 1 NPI

Marc Bongard, DMD

Dental Anesthesiology · Brooklyn, NY

NPI number 1972910479 Active

Practice location

150 55th St
Brooklyn, NY 11220-2508

Call (718) 630-7000 Map

Mailing address

277 Gold St, Apt 7H
Brooklyn, NY 11201-3114

Specialties and licenses

TaxonomyCodeLicense
Dental Anesthesiology Primary 1223D0004XP93870 (NY)

Dental Anesthesiology: A dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology.

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About NPI 1972910479

Marc Bongard, DMD's National Provider Identifier is 1972910479, issued on Jul 16, 2014. The primary taxonomy on file is Dental Anesthesiology (1223D0004X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 16, 2014.