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CITIDENTAL OF WOODHAVEN PC NPI 1811276926


NPI Information

NPI: 1811276926
Provider Name: CITIDENTAL OF WOODHAVEN PC

Other Name: CITIDENTAL

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
10149 WOODHAVEN BLVD
SUITE 2
OZONE PARK, NY
ZIP 11416
Phone: (718) 848-7722
Get Directions

CITIDENTAL OF WOODHAVEN PC is a dentist in Ozone Park, 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. CITIDENTAL OF WOODHAVEN PC NPI is 1811276926. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Citidental.

The provider's business location address is:

10149 WOODHAVEN BLVD
SUITE 2
OZONE PARK, NY
ZIP 11416-300
Phone: (718) 848-7722

The provider's authorized official is Marina Shraga .
The authorized official title is President and has the following contact phone number (917) 797-7272.

The enumeration date for this NPI number is 8/6/2011 and was last updated on 9/1/2011.


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
1122300000XDentist055124NEW YORKNo
2122300000XDentist052174NEW 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
103307031MEDICAIDNEW YORK
202721117MEDICAIDNEW 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: 4/28/2024

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