ALAVI-LIN DENTAL PC NPI 1346581410

NPI Information

NPI: 1346581410
Provider Name: ALAVI-LIN DENTAL PC

Doing Business As: WOODSIDE SPECIALTY DENTAL CLINIC

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5123 QUEENS BLVD
OFFICE 1, DENTIST
WOODSIDE, NY
ZIP 11377
Phone: (718) 440-9272
Get Directions

ALAVI-LIN DENTAL PC is a dental clinic center in Woodside, NY. ALAVI-LIN DENTAL PC NPI is 1346581410. The provider is registered as an organization entity type.
The provider Is Doing Business As Woodside Specialty Dental Clinic.

The provider's business location address is:

5123 QUEENS BLVD
OFFICE 1, DENTIST
WOODSIDE, NY
ZIP 11377-587
Phone: (718) 440-9272
Fax: (718) 440-9797

The provider's authorized official is Mohammad Alavi .
The authorized official title is Prosthodontist and has the following contact phone number (310) 713-9588.

The enumeration date for this NPI number is 3/14/2013 and was last updated on 3/14/2013.

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	261QD0000X	Clinic/Center	Dental	055123	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	03362672	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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