Revaz Beridze

DDS | Dentist



  
  10440 Queens Blvd, #1y, Forest Hills
  New York, 11375-3658

  718-459-3159    718-459-3148 Maps & Directions
Revaz Beridze is a Forest Hills, 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 Revaz Beridze is 046224-1 for General Practice Dentistry in New York. His current practice location is 10440 Queens Blvd, #1y, Forest Hills. Patients can reach him at 718-459-3159.
Revaz Beridze 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:
Revaz Beridze 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: Revaz Beridze
Specialization: Dentist
Gender:Male
Credentials: DDS
Accepts Medicare Assignment:No
Practice Address:10440 Queens Blvd, #1y, Forest Hills,
New York, 11375-3658
Phone:718-459-3159
Fax:718-459-3148
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: 1073642823
NPI Enumeration Date: 05 Mar, 2007
NPI Last Update On: 08 Jul, 2007

Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Revaz Beridze are as mentioned below.
License NumberSpecializationStateStatus
046224-1General Practice Dentistry New YorkPrimary
Other Medical Identifiers:
Other legacy medical identifiers associated with Revaz Beridze such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
IdentifierTypeStateIssuer
01616279MedicaidNew 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: 10440 Queens Blvd, #1y
Forest Hills, New York
Zip: 11375-3658
Phone Number: 718-459-3159
Fax Number: 718-459-3148
Patients can reach Revaz Beridze at 10440 Queens Blvd, #1y, Forest Hills, New York or can call to book an appointment on 718-459-3159. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.

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