ELITE DENTAL (NPI# 1295990422) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295990422 |
| Entity Type | Organization |
| Organization Name | ELITE DENTAL |
| Practice Address |
9819 64th Ave Apt 1h Rego Park NY 11374-2525 |
| Practice Telephone | 7188979745 |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |
| Authorized Official Name | DR. RAFAEL ISAKHAROV (SOLE PROPRIETOR) |
| Authorized Official Telephone | 7188979745 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
049803 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619496577 | Elite Dental | Dentist | 2703 General De Gaulle Dr, New Orleans, LA 70114-6222 | 2017-09-12 |
| 1669907036 | Elite Dental | Dentist | 1025 N Fillmore St Ste C, Arlington, VA 22201-6700 | 2017-04-24 |
| 1366891509 | Elite Dental | Dentist | 1 Willowbrook Rd, Suite 1, Cromwell, CT 06416-1101 | 2016-06-08 |
| 1497101240 | Elite Dental | Dentist | 1025 N Fillmore St, C, Arlington, VA 22201-6701 | 2016-05-11 |
| 1477892685 | Elite Dental | Dentist | 218 N West State Rd, American Fork, UT 84003-1419 | 2013-02-07 |
| 1851607402 | Elite Dental | Dentist | 3280 W 3500 S, #3, West Valley, UT 84119-2668 | 2010-08-20 |
| 1942522073 | Elite Dental | Dentist | 851 W State Road 436, 1021, Altamonte Springs, FL 32714-3000 | 2010-02-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Elite Dental Arts Center PLLC | 11803 Breton Ct Apt #22-b, Reston, Virginia 20191 |
| New York State Corporations | ELITE DENTAL ARTS NYC 2 INC | 240 Central Park South, 2q, New York, Ny 10019 |
| Oregon Corporations, Companies and Business Names | ELITE DENTAL ARTS, INC. | 19405 Golden Meadow Loop, Bend, OR 97702 |
| Colorado Business Entities | Elite Dental Assist LLC | 905 Delft Dr., Colorado Springs, CO 8907 |
| Washington State Corporations | ELITE DENTAL ASSISTING ACADEMY LLC | 2415 Se 165th Ave, Suite 103, Vancouver, WA 98683-4324 |
| System for Award Management (SAM) Entities | ELITE DENTAL ASSISTING ACADEMY LLC | 2415 Se 165th Ave Ste 103, Vancouver, WA 98683-4324 |
| Colorado Business Entities | Elite Dental Assisting Institute LLC | 10037 W Remmington Ave, Littleton, CO 80127 |
| Oregon Corporations, Companies and Business Names | ELITE DENTAL CARE INC | 1600 Sw Cedar Hills Blvd, #110, Portland, OR 97225 |
| Virginia Business Entities | ELITE DENTAL CARE P.C. | |
| New York State Corporations | ELITE DENTAL CARE, P.C. | 94-38 59th Avenue, Elmhurst, Ny 11373 |
| Street Address |
9819 64TH AVE APT 1H |
| City | REGO PARK |
| State | NY |
| Zip Code | 11374-2525 |
| 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 | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669801577 | Gentle Dental Care and Smiles PC | Dentist | 6161 Woodhaven Blvd, Suite 1n, Rego Park, NY 11374-2724 | 2013-11-01 |
| 1306282769 | Sanetta Aminov | Dentist | 9919 66th Rd, Apt #3a, Rego Park, NY 11374-4458 | 2013-05-13 |
| 1326304189 | Yeir Mullokandov | Dentist | 9925 65th Ave, Rego Park, NY 11374-3652 | 2012-04-05 |
| 1548404478 | Nancy Ajam | Dentist | 94-24 63rd Dr, Rego Park, NY 11374-2028 | 2009-04-22 |
| 1578739587 | Elizabeth Yuabov | Dentist | 98-30 67 Avenue, Suite Dd, Rego Park, NY 11367 | 2008-04-30 |
| 1073785028 | Bella Aronov | Dentist | 6620 Wetherole St, Apt # 6e, Rego Park, NY 11374-4636 | 2008-03-31 |
| 1033393525 | Oleg Klempner | Dentist | 91-01 63rd Drive, Rego Park, NY 11374 | 2007-12-20 |
| 1144403957 | Alla Temkin | Dentist | 97-12 63rd Drive Suite 1c, Rego Park, NY 11374 | 2007-12-14 |
| 1790999746 | Francis Joseph Valdinoto | Dentist | 6361 99th St, Dental Office, Rego Park, NY 11374-2449 | 2007-05-09 |
| 1780806224 | Elvira Yakubov | Dentist | 6612 102nd St Apt 1e, Rego Park, NY 11374-4524 | 2007-05-03 |
| Find all providers in REGO PARK | ||||
Please comment or provide details below to improve the information on ELITE DENTAL.
| 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.