DISCOUNT DENTAL NPI 1033571203

NPI Information

NPI: 1033571203
Provider Name: DISCOUNT DENTAL
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
14210 ROOSEVELT AVE # 8
FLUSHING, NY
ZIP 11354
Phone: (718) 460-6868
Get Directions

DISCOUNT DENTAL is a periodontics dentist in Flushing, NY. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. DISCOUNT DENTAL NPI is 1033571203. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14210 ROOSEVELT AVE # 8
FLUSHING, NY
ZIP 11354-046
Phone: (718) 460-6868
Fax: (718) 460-2112

The provider's authorized official is Jun Song .
The authorized official title is Dentist and has the following contact phone number (718) 460-6868.

The enumeration date for this NPI number is 3/25/2016 and was last updated on 3/25/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	122300000X	Dentist		057991	NEW YORK	No
2	122300000X	Dentist		057616	NEW YORK	No
3	1223P0300X	Dentist	Periodontics	048211	NEW YORK	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	02455109	MEDICAID	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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