MODERN DENTAL CONCEPTS OF QUEENS, PLLC (NPI# 1477754851) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477754851 |
| Entity Type | Organization |
| Organization Name | MODERN DENTAL CONCEPTS OF QUEENS, PLLC |
| Practice Address |
176-60 Union Tpke Suite 120 Flushing NY 11366-1531 |
| Mailing Address |
17660 Union Tpke Suite 120 Flushing NY 11366-1531 |
| Practice Telephone | 7189691701 |
| Practice Fax Number | 7189691058 |
| Mailing Telephone | 7189691701 |
| Mailing Fax Number | 7189691058 |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2007-11-13 |
| Authorized Official Name | DR. SILVESTRO IOMMAZZO JR. (PRESIDENT) |
| Authorized Official Telephone | 7189691701 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
044312 | NY | Dental Providers |
| Street Address |
176-60 UNION TPKE SUITE 120 |
| City | FLUSHING |
| State | NY |
| Zip Code | 11366-1531 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417438599 | Esther Mashaiv | Specialist/Technologist, Other | 7345 197st Flushing, New York, NY 11366 | 2018-08-27 |
| 1831615756 | Joseph Sarreal | Licensed Practical Nurse | 77-03 166 Street, Fresh Meadows, NY 11366 | 2017-08-22 |
| 1780106872 | Nadezhda Bababekova | Registered Nurse | 77-15 169st, Fresh Meadows, NY 11366 | 2017-07-11 |
| 1669902284 | Alla Roziyeva | Case Manager/Care Coordinator | 162-16 Union Turnpike, Suite 303, Fresh Meadows, NY 11366 | 2017-06-15 |
| 1568998508 | Patricia Guthrie | Technician/Technologist | 17760 Union Tpke, Suite 110, Fresh Meadows, NY 11366 | 2017-05-11 |
| 1639617384 | Elina Gavrielova | Clinical Nurse Specialist | 7531 190th Street, Fresh Meadows, NY 11366 | 2017-02-02 |
| 1164966818 | Lamisa Ahsan | Pharmacist | 186-16 Union Tunrpike, Flushing, NY 11366 | 2016-12-15 |
| 1508217027 | Huisi Wu | Case Manager/Care Coordinator | 164-19 78th Ave, Fresh Meadows, NY 11366 | 2016-06-27 |
| 1770932113 | Mary-kate Martinez | Community Health Worker | 75-02 162nd St, Fresh Meadows, NY 11366 | 2016-06-07 |
| 1366899866 | Medical Offices of Occupational Health Resources P C | Clinic/Center | Hangar 3 Room 117, Laguardia Airport, Flushing, NY 11366 | 2016-05-16 |
| Find all providers in zip 11366 | ||||
| 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 |
|---|---|---|---|---|
| 1801357918 | Shining Dental Pllc | Dentist | 14238 37th Ave Unit 1f, Flushing, NY 11354-4569 | 2019-03-29 |
| 1841602745 | Helen Kim | Dentist | 13107 40th Rd Ste E30, Flushing, NY 11354-5205 | 2014-05-27 |
| 1659639326 | Jia Huang | Dentist | 13620 38th Ave Ste 8h, Flushing, NY 11354-4232 | 2012-05-01 |
| 1558688770 | Erica Chang | Dentist | 4346 157th St Fl 2, Flushing, NY 11355-1344 | 2010-04-27 |
| 1932361144 | Lily Ye | Dentist | 14209 60th Ave, Flushing, NY 11355-5301 | 2008-06-29 |
| 1760603906 | Sung Ran Hong | Dentist | 14207 37th Ave, Flushing, NY 11354-4102 | 2007-05-02 |
| 1205982196 | Chiranjib Dutta | Dentist | 36 61 Main Street, Flushing, NY 11354 | 2007-01-25 |
| 1871604371 | Laser Dentistry for Children, LLC | Dentist | 13514 Jewel Ave, Flushing, NY 11367-1920 | 2006-08-31 |
| 1538279625 | Barry L. Jacobson | Dentist | 135-14 Jewel Ave, Flushing, NY 11367 | 2006-08-30 |
| 1932182755 | Silvestro Iommazzo Jr. | Dentist | 176 -60 Union Turnpike, Suite 120, Flushing, NY 11366 | 2005-11-25 |
| Find all providers in FLUSHING | ||||
Please comment or provide details below to improve the information on MODERN DENTAL CONCEPTS OF QUEENS, PLLC.
| 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.