82ND DENTAL PLLC (NPI# 1205086147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205086147 |
| Entity Type | Organization |
| Organization Name | 82ND DENTAL PLLC |
| Practice Address |
8201 Roosevelt Ave 2nd Floor Jackson Heights NY 11372-7034 |
| Practice Telephone | 7184765555 |
| Practice Fax Number | 7184766666 |
| Mailing Telephone | 7184765555 |
| Mailing Fax Number | 7184766666 |
| Enumeration Date | 2008-09-29 |
| Last Update Date | 2008-09-29 |
| Authorized Official Name | MR. FARAMARZ KHALILI (PRIMARY PROVIDER) |
| Authorized Official Telephone | 7184765555 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01804719 | 05 |
| Street Address |
8201 ROOSEVELT AVE 2ND FLOOR |
| City | JACKSON HEIGHTS |
| State | NY |
| Zip Code | 11372-7034 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336461995 | Dazzling Smile of Astoria D/b/a 82nd Street Dental | Dentist | 8201 Roosevelt Ave, Jackson Heights, NY 11372-7034 | 2010-02-24 |
| 1720314446 | Arian Sadeghi | Dentist | 8201 Roosevelt Ave, Jackson Heights, NY 11372-7034 | 2009-10-30 |
| 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 | 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 |
|---|---|---|---|---|
| 1265972616 | Haeyoon Yang | Dentist | 8618 37th Ave, Jackson Heights, NY 11372-7533 | 2017-03-05 |
| 1093161747 | Sulochana Gurung | Dentist | 8710 Northern Blvd Ste 204, Jackson Heights, NY 11372-1642 | 2016-05-12 |
| 1033460753 | Mn Denatlcare LLC | Dentist | 3723 78th St, Jackson Heights, NY 11372-6631 | 2012-09-20 |
| 1841563012 | Mary Frances Ditolla | Dentist | 34-41 85th Street, Apt. 1-a, Jackson Heights, NY 11372 | 2012-02-17 |
| 1598053373 | D&s Dental PC | Dentist | 3717 90th St Ste 1, Jackson Heights, NY 11372-7875 | 2011-07-14 |
| 1215238183 | Bestcare Family Dental | Dentist | 8809 Northern Blvd, Jackson Heights, NY 11372-1626 | 2010-11-09 |
| 1417116013 | Jeffrey D Haimson Dmd Pllc | Dentist | 8306 Northern Blvd, Jackson Heights, NY 11372-1460 | 2008-06-09 |
| 1992964761 | Yolanda Cecilia Arteaga | Dentist | 34-28 86th Street, Jackson Heights, NY 11372 | 2008-06-05 |
| 1144495607 | Georgina Lopez | Dentist | 3757 92nd St, Jackson Heights, NY 11372-7947 | 2008-04-25 |
| 1225209828 | Charlene Lau Dds Pllc | Dentist | 35-60 74th Street, #103, Jackson Heights, NY 11372-4316 | 2008-03-22 |
| Find all providers in JACKSON HEIGHTS | ||||
| 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.