104 Dental, Pllc - Dental Clinic in Corona, NY

104 Dental, Pllc is a dental clinic (Dentist - General Practice) in Corona, New York. The current practice location for 104 Dental, Pllc is 10423 Roosevelt Avenue, Corona, New York. For appointments, you can reach them via phone at (718) 426-3000. The mailing address for 104 Dental, Pllc is 10423 Roosevelt Avenue, Corona, New York and phone number is (718) 426-3000.

104 Dental, Pllc is licensed to practice in New York (license number 052701) and its NPI number is 1104356476. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (718) 426-3000.

Contact Information

104 Dental, Pllc
10423 Roosevelt Avenue
Corona
NY 11368-2327
(718) 426-3000
(718) 426-3002

Dental Care Clinic Profile

Full Name104 Dental, Pllc
SpecialityDentist - General Practice
Location10423 Roosevelt Avenue, Corona, New York
Authorized Official Name and PositionArtin Sakhaee (OWNER)
Authorized Official Contact7184767801
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
104 Dental, Pllc
10423 Roosevelt Avenue
Corona
NY 11368-2327

Ph: (718) 426-3000
104 Dental, Pllc
10423 Roosevelt Avenue
Corona
NY 11368-2327

Ph: (718) 426-3000

NPI Details:

NPI Number1104356476
Provider Enumeration Date06/19/2017
Last Update Date07/21/2022

Medical Identifiers

Medical identifiers for 104 Dental, Pllc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1104356476NPI-NPPES
052701MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 052701 (New York)Primary

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Dental Clinics in Corona, NY

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