Individual provider · Type 1 NPI

Panteha Mohammadalizadeh Rastgar, DDS

General Practice Dentistry · Sunnyside, NY

NPI number 1114707098 Active

Practice location

4701 Queens Blvd
Sunnyside, NY 11104-1660

Other practice locations

  • 718 10th Ave, New York, NY 10019-7129 · (646) 628-1211

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
General Practice Dentistry Primary 1223G0001X064736 (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 1114707098

Panteha Mohammadalizadeh Rastgar, DDS's National Provider Identifier is 1114707098, issued on Sep 29, 2023. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Sunnyside, NY. The record was last updated on Aug 13, 2025.