SUPERIOR DENTAL (NPI# 1275771248) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275771248 |
| Entity Type | Organization |
| Organization Name | SUPERIOR DENTAL |
| Practice Address |
2475 Grand Concourse Bronx NY 10468-5443 |
| Practice Telephone | 7183292929 |
| Practice Fax Number | 7183292930 |
| Mailing Telephone | 7183292929 |
| Mailing Fax Number | 7183292930 |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2009-01-29 |
| Authorized Official Name | DR. SVETLANA PONOMAREVA (OWNER) |
| Authorized Official Telephone | 7183292929 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
049663 | NY | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02224179 | 05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Indiana Business Entities | SUPERIOR DENTAL CARE, INC. | 6683 Centerville Business Parkway, Dayton, OH 45459 |
| Colorado Business Entities | Superior Dental Fil-Ins, LLC | 4129 W 30th Street Rd, Greeley, CO 80634 |
| Colorado Business Entities | SUPERIOR DENTAL GROUP, P.C. | 1697 E Coalton Rd Ste B, Superior, CO 80027 |
| New York State Corporations | SUPERIOR DENTAL PROSTHETICS GROUP INC. | 24 Palatine Trail, Staatsburg, Ny 12580 |
| New York State Corporations | SUPERIOR DENTAL, P.C. | 2475 Grand Concourse, Bronx, Ny 10468 |
| Street Address |
2475 GRAND CONCOURSE |
| City | BRONX |
| State | NY |
| Zip Code | 10468-5443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922623776 | Michalis Georgiou | Student in an Organized Health Care Education/Training Program | 130 W. Kongsbridge Road James J. Petters Vamc, Room: 7a-11, Bronx, NY 10468 | 2020-06-08 |
| 1184248072 | Sindhuja Dogga | Student in an Organized Health Care Education/Training Program | James J Peters Vamc, 130 W Kingsbridge Road, Bronx, NY 10468 | 2020-06-05 |
| 1154945434 | Ambreen Shahzadi | Student in an Organized Health Care Education/Training Program | James J. Peters Vamc, 130 W. Kingsbridge Road (111) Room No. 7a-11, Bronx, NY 10468 | 2020-06-03 |
| 1912521550 | Zara Idrees | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Road Room No: 7a-11, Internal Medicin, Bronx, NY 10468 | 2020-05-29 |
| 1710531256 | Ana Samely Maria | Registered Nurse | 2525 Aqueduct Ave B3, Bronx, NY 10468 | 2019-08-01 |
| 1114496007 | Rachel A Squillante | Speech-Language Pathologist | 2280 Aqueduct Avenue, Bronx, NY 10468 | 2018-11-20 |
| 1528547312 | Norwood Professional Medical Services of New York LLC | Surgery | 3487-89 Jerome Ave, Ste A, Bronx, NY 10468 | 2018-08-13 |
| 1336628130 | Norwood Medical of New York LLC | Surgery | 3487-89 Jerome Ave, Ste B, Bronx, NY 10468 | 2018-08-13 |
| 1811473721 | Okyeniba Medical PC | Pediatrics | 58 East Kingsbridge Road, Bronx, NY 10468 | 2018-07-13 |
| 1417446840 | Amina Khalid | Student in an Organized Health Care Education/Training Program | 130 W Kingsbridge Rd., Bronx, NY 10468 | 2018-05-01 |
| Find all providers in zip 10468 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093351124 | Dental On The Hudson | Clinic/Center | 2735 Henry Hudson Pkwy Ste 203, Bronx, NY 10463-4701 | 2019-11-25 |
| 1366880841 | S&b Dental Group, P.C. | Clinic/Center | 500 E 165th St, Bronx, NY 10456-6657 | 2013-06-06 |
| 1801067715 | All In One Dental | Clinic/Center | 4521 3rd Ave, Bronx, NY 10457-1515 | 2008-03-19 |
| 1508037466 | Alejandro Williams Dental Office PC | Clinic/Center | 1624 University Ave, Bronx, NY 10453 | 2008-03-19 |
| 1154449924 | Joseph Landisi | Clinic/Center | 1750 Crosby Ave, Bronx, NY 10461 | 2007-03-27 |
| 1932713849 | Gerald Fiterstein Dds PC | Clinic/Center | 1049 E 163rd St, Bronx, NY 10459-4510 | 2020-09-08 |
| 1770132037 | Michael Aghelian Dds Pllc | Clinic/Center | 2005 Nereid Ave, Bronx, NY 10466-1228 | 2019-09-10 |
| 1720542210 | Third Avenue Bronx Dental PC | Clinic/Center | 2740 3rd Ave, Bronx, NY 10455-4036 | 2019-01-29 |
| 1861997702 | Charles Husaini | Clinic/Center | 1400 Pelham Pkwy S, Bronx, NY 10461-1197 | 2018-03-23 |
| 1679932818 | Premier Family Dentistry Pllc | Clinic/Center | 3024 Kingsbridge Ave, Bronx, NY 10463-5121 | 2016-02-16 |
| Find all providers in BRONX | ||||
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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.