AVALON DENTAL PC NPI 1679182919

NPI Information

NPI: 1679182919
Provider Name: AVALON DENTAL, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
20103 NORTHERN BLVD FL 1
FLUSHING, NY
ZIP 11361
Phone: (646) 436-8470
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AVALON DENTAL, PC is a dental clinic center in Flushing, NY. AVALON DENTAL, PC NPI is 1679182919. The provider is registered as an organization entity type.

The provider's business location address is:

20103 NORTHERN BLVD FL 1
FLUSHING, NY
ZIP 11361-563
Phone: (646) 436-8470

The provider's authorized official is Tommy Ye .
The authorized official title is President and has the following contact phone number (347) 338-8652.

The enumeration date for this NPI number is 7/22/2020 and was last updated on 12/13/2020.

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			Yes

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

NPI Synchronization or Removal

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