ORTHODONTICS AT JACKSON HEIGHTS SMILES, PLLC
NPI 1083033773
Dentist - Orthodontics and Dentofacial Orthopedics in East Elmhurst, NY

Active since April 10, 2014
3062 79TH ST, 2ND FLOOR, EAST ELMHURST, NY 11370(718) 426-9400(718) 426-9497 Get Directions Write a Review

NPPES record last updated: May 29, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Orthodontics At Jackson Heights Smiles, Pllc NPPES

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

ORTHODONTICS AT JACKSON HEIGHTS SMILES, PLLC (NPI 1083033773) is a healthcare organization registered as an orthodontics and dentofacial orthopedics in East Elmhurst, New York and active in the NPI registry since April 2014. The organization lists Saju Mathew, Owner, as its authorized official.

NPPES Registry Identity

NPI1083033773
Entity TypeOrganization
Primary Taxonomy1223X0400X
Legal Business NameORTHODONTICS AT JACKSON HEIGHTS SMILES, PLLC
Location Address3062 79TH ST, 2ND FLOOREast Elmhurst, NY 11370-1510
Mailing Address210 W 70th St, Apt 1101New York, NY 10023-4304 · (631) 235-9007 · Fax (212) 954-5583
Fax(718) 426-9497
Organization SubpartNo
Authorized OfficialSaju MathewOwner · (631) 235-9007
Enumeration DateApril 10, 2014
Last NPPES UpdateMay 29, 2014
NPI 1083033773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Orthodontics and Dentofacial OrthopedicsDental Providers
Taxonomy Code1223X0400X
License Licensed in NY · 050711
Definition
That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures.
3062 79TH ST, East Elmhurst, NY 11370

Other Identifiers 1

Medicaid03128301NY

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

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 Orthodontics At Jackson Heights Smiles, PLLC's NPI number?

The NPI number for Orthodontics At Jackson Heights Smiles, PLLC is 1083033773. It was assigned to this organization in the NPPES registry on April 10, 2014.

Where is Orthodontics At Jackson Heights Smiles, PLLC located?

Orthodontics At Jackson Heights Smiles, PLLC is located at 3062 79th St 2nd Floor, East Elmhurst, NY 11370. The listed phone number is (718) 426-9400.

What is Orthodontics At Jackson Heights Smiles, PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Orthodontics and Dentofacial Orthopedics, with taxonomy code 1223X0400X.

When was this NPI record last updated?

The NPPES record for Orthodontics At Jackson Heights Smiles, PLLC was last updated on May 29, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.