Organization · Type 2 NPI

104 Dental, PLLC

General Practice Dentistry · Corona, NY

NPI number 1104356476 Active

Practice location

10423 Roosevelt Avenue
Corona, NY 11368-2327

Call (718) 426-3000 Map

Fax (718) 426-3002

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X052701 (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 1104356476

104 Dental, PLLC's National Provider Identifier is 1104356476, issued on Jun 19, 2017. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Corona, NY. The record was last updated on Jul 21, 2022.