BEAUTIFUL SMILES BY YOUR DENT PC (NPI# 1043340029) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043340029 |
| Entity Type | Organization |
| Organization Name | BEAUTIFUL SMILES BY YOUR DENT PC |
| Other Organization Name | ZINA GOTLLIEB DDS |
| Practice Address |
61 55 98th Street Suite 11 Rego Park NY 11374 |
| Practice Telephone | 7186998854 |
| Mailing Telephone | 7186998854 |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ZINA S GOTLIEB (PRESIDENT OWNER) |
| Authorized Official Telephone | 7186998854 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 047344 | NY | Dental Providers |
| Other Name | Type Code |
|---|---|
| Zina Gotllieb DDS | Other Name - Individual/Organization |
| Street Address |
61 55 98TH STREET SUITE 11 |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134747579 | Washington Andres Sanchez | Occupational Therapist | 61 80 Woodhaven Blvd, Rego Park, NY 11374 | 2020-07-13 |
| 1285261636 | Joanna Rucinska | Home Health Aide | 6140 Wetherole Street, Rego Park, NY 11374 | 2020-03-25 |
| 1134605751 | Ella Yusupova | Specialist | 6620 Wetherole Street, Apt#2d, Rego Park, NY 11374 | 2018-07-17 |
| 1316435290 | Ilya Nektalov | Pharmacist | 9002 63rd Dr Apt 2h, Rego Park, NY 11374 | 2018-04-26 |
| 1467956623 | Celeste Lucas-powers | Social Worker | 97-37 Queens Blvd, Queens, NY 11374 | 2018-03-22 |
| 1306358114 | Mazal Katanov-nektalov | Occupational Therapist | 65-09 99th St, Apt.1t, Rego Park Queens,ny, NY 11374 | 2017-11-02 |
| 1497273866 | Alex Adrian Medina Abragan | Physical Therapist | 8616 63rd Drive, 2nd Floor, Rego Park, NY 11374 | 2017-09-06 |
| 1417472374 | Natella Yagoudaeva | Physician Assistant | 65-60 Wetherole St. Apt 4d, Rego Park, NY 11374 | 2017-08-11 |
| 1477083491 | Kei Petersen | Social Worker | Rego Park Counseling Center, 97-77 Queens Blvd., Ph Floor, Rego Park, NY 11374 | 2017-06-13 |
| 1558890988 | Irina Simidchieva | 6210 99th Street, Apt.6a, Rego Park, NY 11374 | 2017-06-08 | |
| Find all providers in zip 11374 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| 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. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518342856 | Boris Kaylakov | Dentist | 9825 64th Rd Apt 7g, Rego Park, NY 11374-3402 | 2015-07-28 |
| 1720463326 | Michael Aviel | Dentist | 6440 99th St Apt 4b, Rego Park, NY 11374-3550 | 2015-07-23 |
| 1427457530 | Marina Kandkhorov | Dentist | 6440 99th St Apt 3d, Rego Park, NY 11374-3551 | 2014-08-14 |
| 1083022438 | Catherine Young | Dentist | 6506 Austin St, Rego Park, NY 11374-4052 | 2014-07-29 |
| 1740612597 | Albert Ilyayev | Dentist | 6574 Saunders St Apt 3e, Rego Park, NY 11374-4240 | 2013-08-04 |
| 1538417332 | Yulian Aminov | Dentist | 9949 66th Rd, Apt# 5a, Rego Park, NY 11374-4463 | 2012-08-28 |
| 1639433667 | Shahrokh Ganjian | Dentist | 9737 63rd Rd Ste 1k, Rego Park, NY 11374-1642 | 2012-06-25 |
| 1730446659 | Steven S Baron | Dentist | 63-61 99th Street, Rego Park, NY 11374 | 2012-04-17 |
| 1205123403 | Magdy S Tadros | Dentist | 6240 Woodhaven Blvd Ste P10, Rego Park, NY 11374-3701 | 2011-07-08 |
| 1649563933 | Edward J Degel | Dentist | 9242 Queens Blvd, Rego Park, NY 11374-1040 | 2011-05-19 |
| Find all providers in REGO PARK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.