MODERN DENTAL CONCEPTS OF QUEENS PLLC NPI 1477754851

NPI Information

MODERN DENTAL CONCEPTS OF QUEENS, PLLC is a pediatric dentistry dentist in Flushing, NY. The provider is 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. MODERN DENTAL CONCEPTS OF QUEENS, PLLC NPI is 1477754851. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

176-60 UNION TPKE
SUITE 120
FLUSHING, NY
ZIP 11366-531
Phone: (718) 969-1701
Fax: (718) 969-1058

The provider's authorized official is Silvestro Iommazzo .
The authorized official title is President and has the following contact phone number (718) 969-1701.

The enumeration date for this NPI number is 5/31/2007 and was last updated on 11/13/2007.

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:

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