Dr. Mohammed Mansoorul Imam is a Elmhurst, New York based Dentist who is specialized in
General Practice Dentistry. He does not accept the Medicare-approved amount. Patients will be billed for the treatment. Active license number of Dr. Mohammed Mansoorul Imam is
049149 for General Practice Dentistry in New York. His current practice location is
5611 94th St, Suite # Ln, Elmhurst. Patients can reach him at
718-271-4424.
Dr. Mohammed Mansoorul Imam is the primary dental care provider for patients of all ages. He is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Profile:
Dr. Mohammed Mansoorul Imam speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
| Name: | Dr. Mohammed Mansoorul Imam |
| Specialization: | Dentist |
| Gender: | Male |
| Credentials: | DDS |
| Accepts Medicare Assignment: | No |
| Practice Address: | 5611 94th St, Suite # Ln, Elmhurst,
New York, 11373-5080 |
| Phone: | 718-271-4424 |
| Fax: | 718-271-4799 |
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 are as mentioned below.
| NPI Number: | 1598754947 |
| NPI Enumeration Date: | 18 Oct, 2005 |
| NPI Last Update On: | 12 Nov, 2010 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Mohammed Mansoorul Imam are as mentioned below.
| License Number | Specialization | State | Status | |
| 049149 | General Practice Dentistry | New York | Primary | |
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Mohammed Mansoorul Imam such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 02241183 | Medicaid | New York | |
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | 5611 94th St, Suite # Ln
Elmhurst, New York |
| Zip: | 11373-5080 |
| Phone Number: | 718-271-4424 |
| Fax Number: | 718-271-4799 |
Patients can reach Dr. Mohammed Mansoorul Imam at
5611 94th St, Suite # Ln, Elmhurst, New York or can
call to book an appointment on 718-271-4424.
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**Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on
08 December, 2025.