GRAND DENTAL CARE PC
NPI 1053689463
Dentist - General Practice in North Baldwin, NY

Active since December 13, 2011
2000 GRAND AVE, NORTH BALDWIN, NY 11510(516) 378-1968(516) 608-9319 Get Directions Write a Review

NPPES record last updated: March 22, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grand Dental Care Pc NPPES

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

GRAND DENTAL CARE PC (NPI 1053689463) is a healthcare organization registered as a general practice in North Baldwin, New York and active in the NPI registry since December 2011. The organization lists Flora Angela Chavez-romero, President, as its authorized official.

NPPES Registry Identity

NPI1053689463
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameGRAND DENTAL CARE PC
Location Address2000 GRAND AVENorth Baldwin, NY 11510-2811
Mailing Address2000 Grand AveNorth Baldwin, NY 11510-2811 · (516) 378-1968 · Fax (516) 608-9319
Fax(516) 608-9319
Organization SubpartNo
Authorized OfficialFlora Angela Chavez-romeroPresident · (516) 378-1968
Enumeration DateDecember 13, 2011
Last NPPES UpdateMarch 22, 2012
NPI 1053689463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in NY · 046215
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.
Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License 052129 (NY)
Also ListedDental HygienistTaxonomy 124Q00000X · License P82633 (NY)
2000 GRAND AVE, North Baldwin, NY 11510

Other Identifiers 3

Medicaid01588090NY
Medicaid01627467NY
Medicaid02826084NY

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

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
2000 GRAND AVE
NORTH BALDWIN, NY 11510
Dentist
2000 GRAND AVE
NORTH BALDWIN, NY 11510
Dentist (General Practice)
2000 GRAND AVE
NORTH BALDWIN, NY 11510
Dental Hygienist
2000 GRAND AVE
NORTH BALDWIN, NY 11510

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 Grand Dental Care PC's NPI number?

The NPI number for Grand Dental Care PC is 1053689463. It was assigned to this organization in the NPPES registry on December 13, 2011.

Where is Grand Dental Care PC located?

Grand Dental Care PC is located at 2000 Grand Ave, North Baldwin, NY 11510. The listed phone number is (516) 378-1968.

What is Grand Dental Care PC's specialty?

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

When was this NPI record last updated?

The NPPES record for Grand Dental Care PC was last updated on March 22, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.