| Grand Smile Dental | |
|
6977 Grand Ave Maspeth NY 11378-1826 | |
| (718) 255-1381 | |
| (718) 255-1385 |
| Full Name | Grand Smile Dental |
|---|---|
| Speciality | Dentist |
| Location | 6977 Grand Ave, Maspeth, New York |
| Authorized Official Name and Position | Alexandra Khaimov (DENTIST) |
| Authorized Official Contact | 7182551381 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grand Smile Dental 6977 Grand Ave Maspeth NY 11378-1826 Ph: (718) 255-1381 | Grand Smile Dental 6977 Grand Ave Maspeth NY 11378-1826 Ph: (718) 255-1381 |
| NPI Number | 1467706689 |
|---|---|
| Provider Enumeration Date | 11/09/2012 |
| Last Update Date | 11/09/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467706689 | NPI | - | NPPES |
| 02408982 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 050666 (New York) | Primary |
Lori A Matturro, Dds,pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6084 71st St, Maspeth, NY 11378 Phone: 718-803-3020 Fax: 718-803-2744 | |
Maspeth Family Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7017 Grand Ave, Maspeth, NY 11378 Phone: 718-457-0006 Fax: 718-457-8558 | |
Margaret Fitzsimons Dds, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5829 69th Ln, Maspeth, NY 11378 Phone: 718-429-6931 | |
Gary H Minkowitz Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5523 69th St, Maspeth, NY 11378 Phone: 718-898-6050 Fax: 718-898-1728 | |
Lauren Ballard Dmd, Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6053 Fresh Pond Rd, Maspeth, NY 11378 Phone: 267-742-7709 | |
Maspeth Dental Association Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6645 Grand Ave, Maspeth, NY 11378 Phone: 718-533-1616 |