GRAND SMILE DENTAL NPI 1467706689

NPI Information

  • NPI: 1467706689
  • Provider Name: GRAND SMILE DENTAL
  • Classification: Dentist - 122300000X
  • Entity Type: Organization
  • Address: 6977 GRAND AVE
    MASPETH, NY
    ZIP 11378
  • Phone: (718) 255-1381

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NPI Details

GRAND SMILE DENTAL is a dentist in Maspeth, NY. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. GRAND SMILE DENTAL NPI is 1467706689. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6977 GRAND AVE
MASPETH, NY
ZIP 11378-826
Phone: (718) 255-1381
Fax: (718) 255-1385

The provider's authorized official is Alexandra Khaimov .
The authorized official title is Dentist and has the following contact phone number (718) 255-1381.

The enumeration date for this NPI number is 11/9/2012 and was last updated on 11/9/2012.

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
1122300000XDentist050666NEW YORKYes

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
102408982MEDICAIDNEW 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: 11/21/2025

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