2791 RICHMOND LLC
NPI 1003391186
Dentist - General Practice in Staten Island, NY

Active since September 25, 2018
2791 RICHMOND AVENUE, SUITE 2, STATEN ISLAND, NY 10314(718) 400-9002 Get Directions Write a Review

NPPES record last updated: September 25, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About 2791 Richmond Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

2791 RICHMOND LLC (NPI 1003391186), doing business as Oakwood Dental Arts By The Mall, is a healthcare organization registered as a general practice in Staten Island, New York and active in the NPI registry since September 2018. The organization lists Toni Lynn Egan, Credentialing Department, as its authorized official.

NPPES Registry Identity

NPI1003391186
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name2791 RICHMOND LLC
Location Address2791 RICHMOND AVENUE, SUITE 2Staten Island, NY 10314
Mailing Address2791 Richmond Ave Ste 2Staten Island, NY 10314-5859 · (718) 400-9002
Organization SubpartNo
Authorized OfficialToni Lynn EganCredentialing Department · (718) 979-2121
Enumeration DateSeptember 25, 2018
NPI 1003391186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

2791 RICHMOND AVENUE, SUITE 2, Staten Island, NY 10314

Other Names 1

Doing Business AsOakwood Dental Arts By The Mall

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is 2791 Richmond LLC's NPI number?

The NPI number for 2791 Richmond LLC is 1003391186. It was assigned to this organization in the NPPES registry on September 25, 2018. The provider is doing business as Oakwood Dental Arts by the Mall.

Where is 2791 Richmond LLC located?

2791 Richmond LLC is located at 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314. The listed phone number is (718) 400-9002.

What is 2791 Richmond LLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does 2791 Richmond LLC accept?

Health plans from UnitedHealthcare list 2791 Richmond LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for 2791 Richmond LLC was last updated on September 25, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.