Individual provider · Type 1 NPI

Theodore Davantzis, DDS

General Practice Dentistry · Bayside, NY

NPI number 1902991482 Active

Practice location

200-12 44th Avenue
Bayside, NY 11361

Fax (718) 279-0117

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X39082 (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 1902991482

Theodore Davantzis, DDS's National Provider Identifier is 1902991482, issued on Oct 3, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Bayside, NY. The record was last updated on Jul 8, 2007.