| Queens Central Dental | |
|
8306 Northern Blvd Jackson Heights NY 11372-1460 | |
| (718) 429-0440 | |
| Not Available |
| Full Name | Queens Central Dental |
|---|---|
| Speciality | Dentist |
| Location | 8306 Northern Blvd, Jackson Heights, New York |
| Authorized Official Name and Position | Ilya Male Ames (PRESIDENT) |
| Authorized Official Contact | 7183092531 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Queens Central Dental 8306 Northern Blvd Jackson Heights NY 11372-1460 Ph: (718) 429-0440 | Queens Central Dental 8306 Northern Blvd Jackson Heights NY 11372-1460 Ph: (718) 429-0440 |
| NPI Number | 1548701261 |
|---|---|
| Provider Enumeration Date | 03/14/2017 |
| Last Update Date | 03/14/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548701261 | NPI | - | NPPES |
| 02615007 | Medicaid | NY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 051675-1 (New York) | Primary |
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