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QUEENS MODERN DENTAL
NPI 1083991822
Dentist - General Practice in Queens Village, NY

Active since November 08, 2011
21820 HEMPSTEAD AVE, SUITE 2, QUEENS VILLAGE, NY 11429(718) 217-8700(718) 217-8706 Get Directions Write a Review

NPPES record last updated: November 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Queens Modern Dental NPPES

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

QUEENS MODERN DENTAL (NPI 1083991822) is a healthcare organization registered as a general practice in Queens Village, New York and active in the NPI registry since November 2011. The organization lists Lourdes Joanne Saint Paul, General Dentist, as its authorized official.

NPPES Registry Identity

NPI1083991822
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameQUEENS MODERN DENTAL
Location Address21820 HEMPSTEAD AVE, SUITE 2Queens Village, NY 11429-1235
Mailing Address21820 Hempstead Ave, Suite 2Queens Village, NY 11429-1235 · (718) 217-8700 · Fax (718) 217-8706
Phone(718) 217-8700
Fax(718) 217-8706
Organization SubpartNo
Authorized OfficialLourdes Joanne Saint PaulGeneral Dentist · (718) 217-8700
Enumeration DateNovember 8, 2011
✔ NPI 1083991822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in NY · 050925
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.
21820 HEMPSTEAD AVE, Queens Village, NY 11429
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Other Identifiers 1

Medicaid02584774NY

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 2

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

CIRCE NICOLE LASSEGUE DDS
Dentist (General Practice)
21820 HEMPSTEAD AVE
QUEENS VILLAGE, NY 11429
Queens County (718) 217-8700
CIRCE LASSEGUE DDS, PLLC
Clinic/Center (Dental)
21820 HEMPSTEAD AVE
QUEENS VILLAGE, NY 11429
Queens County (305) 793-9219

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 Queens Modern Dental's NPI number?

The NPI number for Queens Modern Dental is 1083991822. It was assigned to this organization in the NPPES registry on November 8, 2011.

Where is Queens Modern Dental located?

Queens Modern Dental is located at 21820 Hempstead Ave Suite 2, Queens Village, NY 11429. The listed phone number is (718) 217-8700.

What is Queens Modern Dental'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 Queens Modern Dental was last updated on November 8, 2011. 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.