DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

104 DENTAL, PLLC

Active Organization

104 DENTAL, PLLC is a General Dentistry organization located in CORONA, New York. NPI 1104356476 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · CORONA, NY

Registration Details

NPI Number
1104356476
Provider Type
Organization
NPI Issued
Jun 19, 2017 (9.1112247588217 yrs)
Last Updated
Jul 21, 2022
License
052701 (NY)

Practice Information

Address
10423 ROOSEVELT AVENUE
CORONA, NY, 113682327
Browse NY providers · Browse ZIP 11368
Phone
7184263000
Fax
7184263002
Primary Specialty
General Dentistry
1223G0001X

Other General Dentistry Organizations in CORONA, NY

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.