104 Dental, PLLC
Dentist, General Practice in Corona, NY. Organization (NPI-2).
NPI number1104356476
StatusActive
Last updated in NPPESJul 21, 2022
Details
- NPI
- 1104356476
- Entity type
- Organization (NPI-2)
- Legal business name
- 104 Dental, PLLC
- Organization subpart
- No
- Enumeration date
- Jun 19, 2017
- Last updated
- Jul 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 052701 | NY | Yes |
Practice location
10423 Roosevelt AvenueCorona, NY 11368-2327
Phone 718-426-3000 · Fax 718-426-3002
Mailing address
10423 Roosevelt AvenueCorona, NY 11368-2327
Phone 718-426-3000 · Fax 718-426-3002
Authorized official
Artin Sakhaee
Owner
7184767801
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other General Practice Dentistry providers in Corona, NY
- Maria E. Acebo, DDSNPI 1659585990
- Lourdes Marhilda Albandoz, DMDNPI 1538316385
- Sandeep Bhagat, DMDNPI 1043433121
- Vasundhara BhattNPI 1205318516
- Marc Irwin Bienenstock, D.D.S.NPI 1316940158
- Pamela W. Cheng, DDSNPI 1093820672
- Clinica Dental Acuaro, P.C.NPI 1487825188
- Clinica Dental LatinaNPI 1902177843
- Comfort Dental SpaNPI 1053477380
- Corona Dental Office, PCNPI 1063797009
All 37 General Practice Dentistry providers in Corona · All 860 providers in Corona
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.