LS DENTAL PC (NPI# 1609044023) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609044023 |
| Entity Type | Organization |
| Organization Name | LS DENTAL PC |
| Other Organization Name | LS DENTAL PC |
| Practice Address |
4705 44th St Apt A2 Woodside NY 11377-6301 |
| Practice Telephone | 7187529000 |
| Practice Fax Number | 7184409460 |
| Mailing Telephone | 7187529000 |
| Mailing Fax Number | 7184409460 |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2008-02-19 |
| Authorized Official Name | DR. LEONID SHIMANOV (DENTIST) |
| Authorized Official Telephone | 7187529000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
048978-1 | NY | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 02259492 | 05 |
| Other Name | Type Code |
|---|---|
| ls dental pc | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437579927 | Ls Dental PC | Dentist | 9324 Homestead Rd, Suite 100, Houston, TX 77016-4832 | 2014-04-23 |
| Street Address |
4705 44TH ST APT A2 |
| City | WOODSIDE |
| State | NY |
| Zip Code | 11377-6301 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295353738 | Qw Pharmacy Inc | Pharmacy | 54-03 Roosevelt Ave., Woodside, NY 11377 | 2020-07-10 |
| 1689214348 | Reilly Abbott | Social Worker | 42-77 65th Pl, Woodside, NY 11377 | 2020-01-10 |
| 1134767833 | Queens Boulevard Chiropractic P.C. | Chiropractor | 51-27 Queens Blvd, 2nd Fl 2c, Woodside, NY 11377 | 2019-12-13 |
| 1497313399 | Aftab Ahmed | Pharmacist | 5801 Woodside Ave # 3, Woodside, NY 11377 | 2019-06-05 |
| 1780240606 | Simple Therapy Pt PC | Clinic/Center | 49-03 69th Street, Unit B, Woodside, NY 11377 | 2019-05-15 |
| 1386115046 | Andrea Charidemou | Social Worker | 42-77 62nd Pl, Woodside, NY 11377 | 2018-12-06 |
| 1952870198 | American United Medicine PC | Allergy & Immunology | 5314 Roosevelt Ave., Ste 302, Rm 5, Woodside, NY 11377 | 2018-11-16 |
| 1396226999 | Michelle Xian | Social Worker | 42-77 65th Pl., Woodside, NY 11377 | 2018-08-22 |
| 1598253759 | Noel Melon Nuevas | Physical Therapy Assistant | 63 08 39th Ave, Woodside, NY 11377 | 2018-04-24 |
| 1992206585 | Sixtieth Family Dental,pllc | Clinic/Center | 6019 Roosevelt Ave Ste 225, Woodside, NY 11377 | 2018-02-28 |
| Find all providers in zip 11377 | ||||
| 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 |
|---|---|---|---|---|
| 1891335618 | Hassan Falsafi | Dentist | 255 Woodside Dr, Woodside, CA 94062-2353 | 2020-01-09 |
| 1417458696 | Zoe Rebecca Mattana | Dentist | 4705 44th St Ste A2, Woodside, NY 11377-6351 | 2018-02-23 |
| 1831645407 | Josefa A Rivas Dds PC | Dentist | 4527 47 Street, Woodside, NY 11377 | 2016-09-01 |
| 1982038105 | Marian Lam | Dentist | 3237 58th St, Apt 1, Woodside, NY 11377-2025 | 2013-08-23 |
| 1114267283 | State Dental Arts P.c | Dentist | 6715 Roosevelt Ave, Woodside, NY 11377 | 2013-02-26 |
| 1124289533 | Sam's Family Dental | Dentist | 39-79 61 Street Roosevelt Avenue, Woodside, NY 11377 | 2008-06-18 |
| 1003081894 | Lilia Cardona D.d.s., P.C. | Dentist | 3122 69th St, Woodside, NY 11377-1228 | 2008-04-23 |
| 1962674697 | C.leon Vasquez Dental Service PC | Dentist | 40-27 69th St, Woodside, NY 11377-3836 | 2008-04-02 |
| 1932314739 | Ruth Marlene Alvear | Dentist | 5117 43rd Ave, Woodside, NY 11377-4540 | 2007-05-14 |
| 1376765859 | Jeffrey Carrasquillo Dmd Pllc | Dentist | 66-25 Maurice Ave, Woodside, NY 11372 | 2007-05-03 |
| Find all providers in WOODSIDE | ||||
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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.