Ideal Smile Dental, P.c. is a Dental Clinic in Elmhurst, New York. It is located at 9123 Queens Blvd # B, Elmhurst, NY and its contact number is 718-205-2055. The authorized person for Ideal Smile Dental, P.c. is Dr. Yuri Reshetnikov
who is Owner of the clinic and their contact number is 718-205-2055. The primary license number for Ideal Smile Dental, P.c. is 050616 (General Practice) in New York. Ideal Smile Dental, P.c. 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:
Ideal Smile Dental, P.c. Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Ideal Smile Dental, P.c.
Specialization:
General Practice Dentistry
Clinic Address:
9123 Queens Blvd # B, Elmhurst, New York, 11373-5531
Phone:
718-205-2055
Fax:
718-205-2355
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. Yuri Reshetnikov
Position:
Owner
Contact Number:
718-205-2055
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 Ideal Smile Dental, P.c. clinic are as mentioned below.
NPI Number:
1548685357
NPI Enumeration Date:
03 Mar, 2014
NPI Last Update On:
07 Mar, 2023
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Ideal Smile Dental, P.c. are as mentioned below.
Specialization
License Number
State
Status
General Practice
050616
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
02457909
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:
Ideal Smile Dental, P.c. Po Box 740059, Rego Park, New York
Zip:
11374-0059
Phone Number:
718-205-2055
Fax Number:
718-205-2355
Patients can reach Ideal Smile Dental, P.c. at 9123 Queens Blvd # B, Elmhurst, New York or can call to book an appointment on 718-205-2055. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 September, 2024.