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1 DAVISON AVE DENTISTRY PLLC
NPI 1063386555
Dentist - General Practice in Oceanside, NY

Active since September 30, 2025
1 DAVISON AVE W, OCEANSIDE, NY 11572(646) 593-9305 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About 1 Davison Ave Dentistry Pllc NPPES

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

1 DAVISON AVE DENTISTRY PLLC (NPI 1063386555), doing business as Elident, is a healthcare organization registered as a general practice in Oceanside, New York and active in the NPI registry since September 2025. The organization lists Gavriel Gulamov, Owner, as its authorized official.

NPPES Registry Identity

NPI1063386555
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business Name1 DAVISON AVE DENTISTRY PLLC
Location Address1 DAVISON AVE WOceanside, NY 11572-2114
Mailing Address1 Davison Ave WOceanside, NY 11572-2114
Phone(646) 593-9305
Organization SubpartNo
Authorized OfficialGavriel GulamovOwner · (646) 593-9305
Enumeration DateSeptember 30, 2025
Last NPPES UpdateOctober 9, 2025
NPPES CertifiedOctober 9, 2025
✔ NPI 1063386555 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.
1 DAVISON AVE W, Oceanside, NY 11572
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Other Names 1

Doing Business AsElident

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

SUSAN B. YEOMAN LMT
Specialist
1 DAVISON AVE W
OCEANSIDE, NY 11572
Nassau County (516) 946-9417

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 1 Davison Ave Dentistry PLLC's NPI number?

The NPI number for 1 Davison Ave Dentistry PLLC is 1063386555. It was assigned to this organization in the NPPES registry on September 30, 2025. The provider is doing business as Elident.

Where is 1 Davison Ave Dentistry PLLC located?

1 Davison Ave Dentistry PLLC is located at 1 Davison Ave W, Oceanside, NY 11572. The listed phone number is (646) 593-9305.

What is 1 Davison Ave Dentistry PLLC'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 1 Davison Ave Dentistry PLLC was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.