Organization · Type 2 NPI

Professional Dental Associates PC

Periodontics · Astoria, NY

NPI number 1306915822 Active

Practice location

3119 Newtown Ave, Suite 800
Astoria, NY 11102-1350

Fax (718) 728-6795

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry 1223G0001X043622 (NY)
Periodontics Primary 1223P0300X046368 (NY)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

9 other providers at this address

About NPI 1306915822

Professional Dental Associates PC's National Provider Identifier is 1306915822, issued on Nov 7, 2006. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Astoria, NY. The record was last updated on Sep 12, 2012.