Provider Demographics
NPI:1023290467
Name:MARGARITI, KLODIANA F (DDS)
Entity type:Individual
Prefix:DR
First Name:KLODIANA
Middle Name:F
Last Name:MARGARITI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:380 E 18TH ST APT LD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11226-5770
Mailing Address - Country:US
Mailing Address - Phone:718-287-4220
Mailing Address - Fax:
Practice Address - Street 1:380 E 18TH ST APT LD
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11226-5770
Practice Address - Country:US
Practice Address - Phone:718-287-4220
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-27
Last Update Date:2008-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0511681223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02587680Medicaid