PEDIATRIC DENTAL WORLD, PC (NPI# 1629366703) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629366703 |
| Entity Type | Organization |
| Organization Name | PEDIATRIC DENTAL WORLD, PC |
| Practice Address |
7228 Broadway 2nd Floor Jackson Heights NY 11372-6331 |
| Practice Telephone | 7184782825 |
| Practice Fax Number | 7184782831 |
| Mailing Telephone | 7184782825 |
| Mailing Fax Number | 7184782831 |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |
| Authorized Official Name | DR. DESIREE LARACUENTE (OWNER) |
| Authorized Official Telephone | 7184782825 |
| Authorized Official Credential | DMD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
053544 | NY | Dental Providers |
| Street Address |
7228 BROADWAY 2ND FLOOR |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-6331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669988150 | Sns Drugs, Inc | Durable Medical Equipment & Medical Supplies | 7228 Broadway, Jackson Heights, NY 11372-6331 | 2017-12-19 |
| 1659749760 | Comfort Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 7228 Broadway, Jackson Heights, NY 11372-6331 | 2015-09-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063028967 | Adults Medical Care, P.C. | Internal Medicine | 89 04 Northern Blvd, Ground Floor, Jackson Heights, NY 11372 | 2020-09-17 |
| 1568077014 | Toshihide Kuroe | Student in an Organized Health Care Education/Training Program | 35-20 90th Street, Jackson Heights, Queens, New York, NY 11372 | 2020-09-11 |
| 1134732142 | Wendell Jamias Abad | Physical Therapy Assistant | 90-33 Elmhurst Ave., Jackson Heights, NY 11372 | 2020-08-28 |
| 1508489022 | Shereda Lawrence | Nurse Practitioner | 86-10 Roosevelt Ave, Jackson Heights, NY 11372 | 2020-05-19 |
| 1710513395 | Golden Age Home Care, Inc | Home Health | 71-16 35th Street, Jackson Heights, NY 11372 | 2020-03-16 |
| 1497210611 | Andree Michel Decastro | Counselor | 76-05 Roosevelt Ave, 2nd Fl, Flushing, NY 11372 | 2019-02-01 |
| 1598234031 | Bithi Roy | Social Worker | 37-08 91st St Jackson Heights, Suit 3a, Jackson Heights, NY 11372 | 2018-11-14 |
| 1225506496 | Michael Anavian | Counselor | 7410 35 Ave Suite 107w, Jackson Heights, NY 11372 | 2018-11-06 |
| 1982189171 | Jackson Pharmacy Inc. | Pharmacy | 7102, 37th Avenue, Jackson Heights, NY 11372 | 2018-10-03 |
| 1689155814 | Sostenes Batista Lima | Counselor | 35-25 86th St Apt 1f, Jackson Heights, NY 11372 | 2018-08-26 |
| Find all providers in zip 11372 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760026777 | Dr. Stephen A Festa-pediatric Dentistry Pllc | Dentist | 3755 76th St Bsmt Apt, Jackson Heights, NY 11372-6552 | 2019-11-01 |
| 1760034391 | Little T Kids Dentistry | Dentist | 8610 Roosevelt Ave Ste 31, Jackson Heights, NY 11372-7511 | 2019-07-13 |
| 1922460674 | Cindy Y. Lee | Dentist | 3315 Junction Blvd, Jackson Heights, NY 11372-2008 | 2016-03-22 |
| 1619125002 | Nabil Ouatik | Dentist | 93-20a Roosevelt Ave, Jackson Heights, NY 11372-7904 | 2008-08-28 |
| 1760572044 | Stephen Anthony Festa | Dentist | 3755 76th St, Jackson Heights, NY 11372-6507 | 2006-10-15 |
| 1720485675 | Amy Herbert | Dentist | 93-20a Roosevelt Ave, Jackson Heights, NY 11377 | 2014-11-20 |
| 1396808028 | David Barnett Goodman | Dentist | 3755 76th St, Jackson Heights, NY 11372-6507 | 2006-12-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417557059 | Smiles and Grins Pediatric Dentistry | Dentist | 160 E 88th St Apt 1d, New York, NY 10128-2217 | 2020-10-30 |
| 1891395810 | Ez Orthodontics Pllc | Dentist | 4010 82nd St Fl 2, Elmhurst, NY 11373-1305 | 2020-10-28 |
| 1346858677 | Kids Dental of Queens PC | Dentist | 4236 82nd St # C, Elmhurst, NY 11373-3537 | 2020-07-22 |
| 1073131512 | Prohealth Dental Pllc | Dentist | 2318 31st St Ste 320, Astoria, NY 11105-2765 | 2020-07-10 |
| 1952929911 | Kiddsmiles Pediatric Dentistry 7 Pllc | Dentist | 263 Jericho Tpke, Floral Park, NY 11001-2146 | 2020-07-07 |
| 1376177782 | Pco Ortho LLC | Dentist | 3422 35th St, Long Island City, NY 11106-1268 | 2020-02-24 |
| 1033749916 | Yehuda Marciano Dds PC | Dentist | 932 Broadway Ste 1, Woodmere, NY 11598-1723 | 2020-01-20 |
| 1710521752 | Asnis Dental Pllc | Dentist | 800 N Broadway, Massapequa, NY 11758-2335 | 2019-11-02 |
| 1841849965 | Woodrow Little Smiles Family Dentistry P.C. | Dentist | 739 Woodrow Road, Staten Island, NY 10312 | 2019-09-11 |
| 1801455381 | Nassiri Pediatric Dentistry | Dentist | 875 Mamaroneck Ave Ste 203, Mamaroneck, NY 10543-1976 | 2019-06-10 |
| Find all providers with the same taxonomy | ||||
| City | JACKSON HEIGHTS |
| Zip Code | 11372 |
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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.