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WOODHAVEN DENTAL GROUP PLLC NPI 1609278233


NPI Information

NPI: 1609278233
Provider Name: WOODHAVEN DENTAL GROUP, PLLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
8708 WOODHAVEN BLVD
2ND FLOOR
WOODHAVEN, NY
ZIP 11421
Phone: (718) 850-5555
Get Directions

WOODHAVEN DENTAL GROUP, PLLC is a pediatric dentistry dentist in Woodhaven, 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. WOODHAVEN DENTAL GROUP, PLLC NPI is 1609278233. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8708 WOODHAVEN BLVD
2ND FLOOR
WOODHAVEN, NY
ZIP 11421-284
Phone: (718) 850-5555
Fax: (718) 805-9000

The provider's authorized official is Daniel Kuncio .
The authorized official title is Member and has the following contact phone number (718) 850-5555.

The enumeration date for this NPI number is 9/26/2014 and was last updated on 7/7/2015.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1124Q00000XDental Hygienist051019NEW YORKNo
2126800000XDental Assistant051019NEW YORKNo
31223P0221XDentistPediatric Dentistry051019NEW YORKYes

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: 4/28/2024

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