is a Dental Clinic in Rego Park, New York. It is located at 9725 64th Ave, Unit: G-3, Rego Park, NY and its contact number is 718-275-7300. The authorized person for is Dr. Jacob Avner
who is Dentist/owner of the clinic and their contact number is 718-275-7300. The primary license number for is 0496891 (General Practice) in New York. 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:
Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Specialization:
General Practice Dentistry
Clinic Address:
9725 64th Ave, Unit: G-3, Rego Park, New York, 11374-2236
Phone:
718-275-7300
Fax:
718-275-7307
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. Jacob Avner
Position:
Dentist/owner
Contact Number:
718-275-7300
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 clinic are as mentioned below.
NPI Number:
1114398807
NPI Enumeration Date:
07 Oct, 2015
NPI Last Update On:
07 Oct, 2015
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for are as mentioned below.
Specialization
License Number
State
Status
General Practice
0496891
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
02282222
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:
9725 64th Ave, Unit: G-3 Rego Park, New York
Zip:
11374-2236
Phone Number:
718-275-7300
Fax Number:
718-275-7307
Patients can reach at 9725 64th Ave, Unit: G-3, Rego Park, New York or can call to book an appointment on 718-275-7300. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 10 February, 2025.