Individual provider · Type 1 NPI

Revaz Beridze, DDS

General Practice Dentistry · Forest Hills, NY

NPI number 1073642823 Active

Practice location

10440 Queens Blvd, #1Y
Forest Hills, NY 11375-3658

Fax (718) 459-3148

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X046224-1 (NY)

General Practice Dentistry: 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.

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About NPI 1073642823

Revaz Beridze, DDS's National Provider Identifier is 1073642823, issued on Mar 5, 2007. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Forest Hills, NY. The record was last updated on Jul 8, 2007.