104 Dental, Pllc is a Dental Clinic in Corona, New York. It is located at 10423 Roosevelt Avenue, Corona, NY and its contact number is 718-426-3000. The authorized person for 104 Dental, Pllc is Dr. Artin Sakhaee
who is Owner of the clinic and their contact number is 718-476-7801. The primary license number for 104 Dental, Pllc is 052701 (General Practice) in New York. 104 Dental, Pllc Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
104 Dental, Pllc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
104 Dental, Pllc
Specialization:
General Practice Dentistry
Clinic Address:
10423 Roosevelt Avenue, Corona, New York, 11368-2327
Phone:
718-426-3000
Fax:
718-426-3002
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Artin Sakhaee
Position:
Owner
Contact Number:
718-476-7801
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for 104 Dental, Pllc clinic are as mentioned below.
NPI Number:
1104356476
NPI Enumeration Date:
19 Jun, 2017
NPI Last Update On:
21 Jul, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for 104 Dental, Pllc are as mentioned below.
Specialization
License Number
State
Status
General Practice
052701
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
052701
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
104 Dental, Pllc 10423 Roosevelt Avenue, Corona, New York
Zip:
11368-2327
Phone Number:
718-426-3000
Fax Number:
718-426-3002
Patients can reach 104 Dental, Pllc at 10423 Roosevelt Avenue, Corona, New York or can call to book an appointment on 718-426-3000. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 March, 2024.