Roosevelt 26 Dentistry P.c. - Dental Clinic in Corona, NY

Roosevelt 26 Dentistry P.c. is a dental clinic (Dentist - General Practice) in Corona, New York. The current practice location for Roosevelt 26 Dentistry P.c. is 103-10 Roosevelt Avenue, 2nd Flr, Corona, New York. For appointments, you can reach them via phone at (718) 779-2626. The mailing address for Roosevelt 26 Dentistry P.c. is 10310 Roosevelt Ave Fl 2, Corona, New York and phone number is (718) 779-2626.

Roosevelt 26 Dentistry P.c. is licensed to practice in * (Not Available) (license number ) and its NPI number is 1114237518. 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) 779-2626.

Contact Information

Roosevelt 26 Dentistry P.c.
103-10 Roosevelt Avenue, 2nd Flr
Corona
NY 11368
(718) 779-2626
Not Available

Dental Care Clinic Profile

Full NameRoosevelt 26 Dentistry P.c.
SpecialityDentist - General Practice
Location103-10 Roosevelt Avenue, 2nd Flr, Corona, New York
Authorized Official Name and PositionFaramarz Khalili (OWNER)
Authorized Official Contact7187792626
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Roosevelt 26 Dentistry P.c.
10310 Roosevelt Ave Fl 2
Corona
NY 11368-2330

Ph: (718) 779-2626
Roosevelt 26 Dentistry P.c.
103-10 Roosevelt Avenue, 2nd Flr
Corona
NY 11368

Ph: (718) 779-2626

NPI Details:

NPI Number1114237518
Provider Enumeration Date10/19/2010
Last Update Date10/19/2010

Medical Identifiers

Medical identifiers for Roosevelt 26 Dentistry P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114237518NPI-NPPES
01804719MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice (* (Not Available))Primary

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