QUEENS DENTAL PC (NPI# 1609261320) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609261320 |
| Entity Type | Organization |
| Organization Name | QUEENS DENTAL PC |
| Other Organization Name | INWOOD DENTAL CARE |
| Practice Address |
85 Doughty Blvd Inwood NY 11096-2001 |
| Practice Telephone | 5162393283 |
| Practice Fax Number | 5163710390 |
| Mailing Telephone | 5162393283 |
| Mailing Fax Number | 5163710390 |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |
| Authorized Official Name | MS. ERICKA MAYORGA (MANAGER) |
| Authorized Official Telephone | 3476772110 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
0506501 | NY | Dental Providers |
| Other Name | Type Code |
|---|---|
| Inwood Dental Care | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558352229 | Queens Dental PC | Dentist | 9030 161st, Jamaica, NY 11432 | 2005-11-02 |
| Street Address |
85 DOUGHTY BLVD |
| City | INWOOD |
| State | NY |
| Zip Code | 11096-2001 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619967510 | Flora Chavez | Dentist | 85 Doughty Blvd, Inwood, NY 11096-2001 | 2005-10-24 |
| 1982102836 | Inwood Family Dentistry PC | Dentist | 85 Doughty Blvd, Inwood, NY 11096-2001 | 2018-01-25 |
| 1700069580 | Inwood Dental Care PC | Clinic/Center | 85 Doughty Blvd, Inwood, NY 11096-2001 | 2007-12-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568973592 | Andreadenise Jacqueline Gray | Behavior Technician | 600 Bayview Ave Ste 309, Inwood, NY 11096 | 2017-10-17 |
| 1407118557 | Julie Ann Ackerman | Specialist | 188 Donahue Ave, Inwood, NY 11096 | 2012-06-14 |
| 1164706362 | Ilene Rona Isler | Speech-Language Pathologist | 1 Donahue Avenue, Number Two School, Inwood, NY 11096 | 2011-10-06 |
| 1790064582 | Sharon Rae Solomon-fried Cander | Social Worker | #1 Donahue Ave, Public School Number Two, Inwood, NY 11096 | 2011-08-10 |
| 1548567217 | Stephanie Hazel Campbell | Speech-Language Pathologist | Donahue Avenue, Number Two School, Inwood, NY 11096 | 2011-02-16 |
| 1659678472 | Anthony Thomas Procaccino Jr. | Psychologist | 1 Donahue Ave. Number Two Elementary School, Lawrence Public Schools, Inwood, NY 11096 | 2011-02-14 |
| 1760792089 | Janice Patricia Mcphaul-guerrier | Licensed Practical Nurse | 87 Wanser Avenue, Lawrence Public School # 4, Inwood, NY 11096 | 2010-10-20 |
| 1376857979 | Hilary E. Shein Rothman | Physical Therapist | 90 Henry Street, Inwood, NY 11096 | 2010-08-06 |
| 1144335712 | Carlos A Menera | Obstetrics & Gynecology | 270 Doughty Blvd, Inwood, NY 11096 | 2006-08-21 |
| 1881619708 | Inwood Community Health Center | Clinic/Center | 270 Lawrence Ave., Inwood, NY 11096 | 2006-07-13 |
| Find all providers in zip 11096 | ||||
| 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 |
|---|---|---|---|---|
| 1275828667 | Christopher Myers Banks | Dentist | 4325 Gerrardstown Rd, Inwood, WV 25428-3449 | 2011-06-14 |
| 1992033799 | Anthony Clayton Smallwood | Dentist | 372 Middleway Pike Ste A, Inwood, WV 25428-3909 | 2009-12-07 |
| 1619967510 | Flora Chavez | Dentist | 85 Doughty Blvd, Inwood, NY 11096-2001 | 2005-10-24 |
| 1609354877 | Matthew Lee Miller | Dentist | 372 Middleway Pike Ste A, Inwood, WV 25428-3909 | 2018-07-31 |
| 1982102836 | Inwood Family Dentistry PC | Dentist | 85 Doughty Blvd, Inwood, NY 11096-2001 | 2018-01-25 |
| 1801203856 | Matthew Miller | Dentist | 372 Middleway Pike Ste A, Inwood, WV 25428 | 2014-07-22 |
| 1467748038 | Kelly Mckown-smallwood | Dentist | 372 Middleway Pike Ste A, Inwood, WV 25428-3909 | 2011-06-22 |
| 1427198860 | Jolene Kay Bruns | Dentist | 213 S Main St, Inwood, IA 51240 | 2007-02-07 |
| 1912922873 | Daniel P Bonner | Dentist | 372 Middleway Pike Ste A, Inwood, WV 25428-3719 | 2006-07-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912508458 | Sterling Smiles LLC | Dentist | 1022 E163rd St, Bronx, NY 10459 | 2020-11-02 |
| 1447859509 | Scarsdale Plaza Dental Services, Pllc | Dentist | 455 Central Park Ave Ste 309, Scarsdale, NY 10583-1034 | 2020-10-20 |
| 1326655077 | Iro Dental Pllc | Dentist | 352 7th Ave Ste 405, New York, NY 10001-5012 | 2020-09-27 |
| 1710592373 | Ci Aronson Dds PC | Dentist | 93 Route 303, Tappan, NY 10983 | 2020-09-10 |
| 1508478389 | Damion A Myers Dds Pllc | Dentist | 103 W Dominick St Ste 20, Rome, NY 13440-5809 | 2020-08-21 |
| 1578175089 | Rafael Khavis | Dentist | Dent Tower Suite 401, 3980 Sheridan Drive, Amherst, NY 14226 | 2020-08-18 |
| 1184235939 | Western Island Dental Care Pllc | Dentist | 1900 Hempstead Tpke Ste 402, East Meadow, NY 11554-1702 | 2020-08-14 |
| 1992315469 | Elvin F Ramirez | Dentist | 274 W 140th St Apt 1, New York, NY 10030-1738 | 2020-08-08 |
| 1215547864 | Taylor Truncali | Dentist | 3671 Route 9w, Highland, NY 12528-2000 | 2020-08-07 |
| 1275143299 | Francisco J Osorio | Dentist | 812 W 181st St Apt 32, New York, NY 10033-4555 | 2020-08-04 |
| 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.