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 Number
Specialization
State
Status
046224-1
General Practice Dentistry
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Revaz Beridze such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
01616279
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:
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 11 November, 2024.