TOOTH FAIRY ENDODONTICS, P.C. (NPI# 1497313241) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1497313241 |
Entity Type | Organization |
Organization Name | TOOTH FAIRY ENDODONTICS, P.C. |
Practice Address |
4125 Kissena Blvd Ste 117 Flushing NY 11355-3150 |
Practice Telephone | 7183219700 |
Mailing Telephone | 7183219700 |
Enumeration Date | 2019-06-05 |
Last Update Date | 2019-06-05 |
Authorized Official Name | EUGENIA YANG (OWNER) |
Authorized Official Telephone | 6175711067 |
Authorized Official Credential | DMD |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1223E0200X |
Dentist Specialization: Endodontics |
Dental Providers |
Entity Type | Entity Name | Entity Address |
---|---|---|
New York State Corporations | TOOTH FAIRY ENDODONTICS, P.C. | 41-25 Kissena Blvd, Suite 117, Flushing, Ny 11355 |
Street Address |
4125 KISSENA BLVD STE 117 |
City | FLUSHING |
State | NY |
Zip Code | 11355-3150 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740545706 | Eugenia Yang | Dentist | 4125 Kissena Blvd Ste 117, Flushing, NY 11355-3150 | 2012-07-05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1588281364 | Antoinette Sanon | Registered Nurse | 42-49 Alban St, Flushing, NY 11355 | 2020-06-29 |
1336765353 | Jayesh Nakum | Physical Therapist | 43-32 Kissena Blvd, Apt # 15d, New York, NY 11355 | 2020-06-25 |
1417582990 | Royal Class Home Health Care Agency, Inc | Home Health | 143-26 41st Avenue 2nd Floor, Flushing, NY 11355 | 2020-03-05 |
1356972673 | Christine Samuel | Nurse Practitioner | Nyp Queens, 56-45 Main Street, Flushing, NY 11355 | 2020-01-27 |
1740842590 | Ji Nu Lee | Acupuncturist | 138 49 Barclay Ave. 6a, Flushing, NY 11355 | 2019-07-02 |
1386203990 | Paula Scharffenberg | Registered Nurse | 140-50 Poelar Ave, Queens, NM 11355 | 2019-06-07 |
1821655101 | Erin Cisney | Student in an Organized Health Care Education/Training Program | 5654 Main St, Flushing, NY 11355 | 2019-05-22 |
1356810063 | Sanjay Lodha Physician PC | Internal Medicine | 45 72 Parsons Lewis Blvd, Flushing, NY 11355 | 2018-11-26 |
1740756576 | Allday Pharmacy Inc | Pharmacy | 4199 Main St, Suite 202a, Flushing, NY 11355 | 2018-10-19 |
1477035806 | Xiaona Mo | Acupuncturist | 42-67 Saull St #b, Flushing, NY 11355 | 2018-09-01 |
Find all providers in zip 11355 |
Taxonomy Code | 1223E0200X |
Grouping | Dental Providers |
Classification | Dentist |
Specialization | Endodontics |
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. |
Notes: Source: Council on Dental Education and Licensure, American Dental Association |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457598922 | Leah M Lewis | Dentist | 15025 Union Tpke, Flushing, NY 11367-3927 | 2009-01-20 |
1942483904 | Mintsai Liu | Dentist | 13911 Franklin Ave Fl 1, Flushing, NY 11355-3342 | 2007-12-13 |
1760442701 | Ji-yeon Chung | Dentist | 133-08 41ave, First Fl., Flushing, NY 11355-3629 | 2006-03-24 |
1881685436 | Kenneth Richard Burnstein | Dentist | 14220 Franklin Ave, Suite Lc, Flushing, NY 11355-2640 | 2005-11-02 |
1497399133 | Skyline Dental Partners Pllc | Dentist | 3901 Main St Ste 411, Flushing, NY 11354-5483 | 2019-11-06 |
1154609550 | Virendra Jhaveri Dds PC | Dentist | 4370 Kissena Blvd, #le, Flushing, NY 11355-3769 | 2011-08-02 |
1457507840 | Cora Chia-chuan Lo | Dentist | 13620 38th Ave Ste 6j, Flushing, NY 11354-4263 | 2008-08-18 |
1255353546 | Andrew A Kuo | Dentist | 3901 Main St, #201, Flushing, NY 11354-5432 | 2006-07-24 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1063026235 | Sanghyun Park | Dentist | 1103 Stewart Ave Ste 104, Garden City, NY 11530-4886 | 2020-09-03 |
1164031654 | Harp Endodontics PC | Dentist | 121 E 60th St Apt 10a, New York, NY 10022-1198 | 2020-07-30 |
1518590918 | All County Endodontics, PC | Dentist | 112 Westminster Rd, Scarsdale, NY 10583-2425 | 2020-02-14 |
1245862325 | Marie Milagros Mora Moreno | Dentist | 345 E 24th St Dept Of, New York, NY 10010-4020 | 2020-02-06 |
1407406218 | Geoffrey Louis Sas | Dentist | 1414 Avenue of The Americas Fl 19, New York, NY 10019-2514 | 2019-09-13 |
1790340875 | Kim & Wang Dds Pllc | Dentist | 10737 71st Ave Ste 203, Forest Hills, NY 11375-4736 | 2019-05-05 |
1003373903 | Prohealth Dental Pllc | Dentist | 5011 Vernon Blvd, Long Island City, NY 11101 | 2019-02-27 |
1023575982 | Prohealth Dental Pllc | Dentist | 16345 Crossbay Blvd, Howard Beach, NY 11414-3741 | 2019-02-27 |
1114494911 | Alf Hitel Bunes | Dentist | 900 Starboard Side Ln Apt 306, Webster, NY 14580-2288 | 2018-10-30 |
1972086684 | Steven Kyongmin Kim | Dentist | 209 E 56th St Frnt 1, New York, NY 10022 | 2018-09-09 |
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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.