Individual provider · Type 1 NPI

Lily Bozaglo

General Practice Dentistry · Staten Island, NY

NPI number 1770348393 Active

Practice location

976 Bard Ave
Staten Island, NY 10301-3322

Mailing address

2601 Ocean Pkwy
Brooklyn, NY 11235-7745

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X064909 (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 1770348393

Lily Bozaglo's National Provider Identifier is 1770348393, issued on Feb 14, 2024. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Staten Island, NY. The record was last updated on Jul 20, 2026.