PROFESSIONAL DENTAL ASSOCIATES PC (NPI# 1306915822) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306915822 |
| Entity Type | Organization |
| Organization Name | PROFESSIONAL DENTAL ASSOCIATES PC |
| Practice Address |
3119 Newtown Ave Suite 800 Astoria NY 11102-1350 |
| Practice Telephone | 7187288844 |
| Practice Fax Number | 7187286795 |
| Mailing Telephone | 7187288844 |
| Mailing Fax Number | 7187286795 |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2012-09-12 |
| Authorized Official Name | BERNARD G RUPNARAIN (PRESIDENT) |
| Authorized Official Telephone | 7187288844 |
| Authorized Official Credential | DDS MSD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1223G0001X |
Dentist Specialization: General Practice |
043622 | NY | Dental Providers |
| Y | 1223P0300X |
Dentist Specialization: Periodontics |
046368 | NY | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154592285 | Professional Dental Associates PC | Dentist | 888 Michigan Ave, Baldwin, MI 49304 | 2008-03-17 |
| 1750550109 | Professional Dental Associates PC | Dentist | 98 Northern Avenue, Barryton, MI 49305 | 2008-02-29 |
| 1992863401 | Professional Dental Associates PC | Dentist | 415 South State Street, Big Rapids, MI 49307-2049 | 2006-12-05 |
| Street Address |
3119 NEWTOWN AVE SUITE 800 |
| City | ASTORIA |
| State | NY |
| Zip Code | 11102-1350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235119090 | Steven M Tillem | Urology | 3119 Newtown Ave, Suite 801, Astoria, NY 11102-1350 | 2006-01-18 |
| 1215350335 | Monique Arraval | Dentist | 3119 Newtown Ave, Ste. 800, Astoria, NY 11102-1350 | 2014-01-24 |
| 1922421049 | Bernard Rupnarain | Dentist | 3119 Newtown Ave, Ste. 800, Astoria, NY 11102-1350 | 2014-01-24 |
| 1588007140 | Bracetown Orthodontics,llp | Dentist | 3119 Newtown Ave, Suite 201, Astoria, NY 11102-1350 | 2013-04-14 |
| 1760722813 | Luciana Gesto Ares | Dentist | 3119 Newtown Ave, Suite 800, Astoria, NY 11102-1350 | 2013-02-27 |
| 1164767703 | Bracetown Orthodontics, LLP | Dentist | 3119 Newtown Ave, Astoria, NY 11102-1350 | 2012-12-09 |
| 1285907964 | Lenox Hill Urological LLC | Urology | 3119 Newtown Ave, Astoria, NY 11102-1350 | 2012-02-11 |
| 1770541120 | Russell N Beckhardt | Otolaryngology | 3119 Newtown Ave, Suite 201, Astoria, NY 11102-1350 | 2006-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497301444 | Stephanie Angela Van Rossem | Nurse Practitioner | 28-18 Astoria Blvd, Astoria, Ny 11102, Astoria, NY 11102 | 2019-08-15 |
| 1831754118 | Ahmed Mohamed Sayed Zedan | Pharmacist | 3014 14th St, Astoria, NY 11102 | 2019-05-02 |
| 1841758927 | Prohealth Care Associates, LLP | Occupational Therapist | 27-17 Cresecent Street, Suite 1, Astoria, NY 11102 | 2019-03-07 |
| 1598231292 | Mayuri Ardak | Student in an Organized Health Care Education/Training Program | 25-40 30th Road Suite A1, Astoria, NY 11102 | 2018-10-19 |
| 1134626740 | Claudia Ahumada, Lcsw, Pllc | Social Worker | 2556 31st St Ste 302, Astoria, NY 11102 | 2018-04-10 |
| 1255840039 | Ashley Taylor Curaba | Physician Assistant | 25-10 30th Rd, Queens, NY 11102 | 2017-09-25 |
| 1265953517 | Kathleen Yetman | Student in an Organized Health Care Education/Training Program | 2707 8th Street, The Astoria Blue Feather Profram, Astoria, NY 11102 | 2017-06-27 |
| 1679933998 | Tarek R Khater | Clinic/Center | 2814 31st St, Suite 501, Astoria, NY 11102 | 2016-02-29 |
| 1295194116 | Individualized Family Care LLC | Community/Behavioral Health | 12-22 30th Ave, Apt 4h, Astoria, NY 11102 | 2016-02-19 |
| 1700288909 | Andre Farah Dc PC | Chiropractor | 29-15 Astoria Blvd, Astoria, NY 11102 | 2014-09-18 |
| Find all providers in zip 11102 | ||||
| Taxonomy Code | 1223P0300X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Periodontics |
| That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922421049 | Bernard Rupnarain | Dentist | 3119 Newtown Ave, Ste. 800, Astoria, NY 11102-1350 | 2014-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467052068 | Tamar Friling | Dentist | 247 3rd Ave Rm 203, New York, NY 10010-7453 | 2020-11-01 |
| 1851901896 | Kristen Brocavich | Dentist | 150 Islip Ave Ste 11, Islip, NY 11751-3222 | 2020-08-04 |
| 1962056499 | Zahavi Dental of Rochester | Dentist | 1815 S. Clinton Ave, 510, Rocheter, NY 14618 | 2019-08-01 |
| 1346710241 | Bedford Hills Dental P.C. | Dentist | 3 Depot Plz, Bedford Hills, NY 10507-1807 | 2018-12-04 |
| 1093295735 | Giffords Dental, P.C. | Dentist | 79 Giffords Ln, Staten Island, NY 10308-2411 | 2018-08-21 |
| 1215416805 | Alex Zusin | Dentist | 2540 Batchelder St Apt 5o, Brooklyn, NY 11235-1530 | 2018-08-14 |
| 1639655764 | Kiss Dental Care Pllc | Dentist | 425 Robinson Ave Ste 4, Newburgh, NY 12550-3303 | 2018-07-11 |
| 1689189524 | Mid Island Dental Specialists, PC | Dentist | 400 S Oyster Bay Rd Ste 201, Hicksville, NY 11801-3500 | 2017-12-13 |
| 1477068906 | Mohammad Reshad | Dentist | 230 Riverside Dr Apt 10m, New York, NY 10025-6192 | 2017-12-06 |
| 1043724479 | Ioana Chesnoiu Matei | Dentist | 630 W 168th St Rm 7-200c, New York, NY 10032-3725 | 2017-11-21 |
| Find all providers with the same taxonomy | ||||
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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.