ROOSEVELT 26 DENTISTRY P.C.
NPI 1114237518
Dentist - General Practice in Corona, NY

Q: What is Roosevelt 26 Dentistry P.C.'s NPI number?

The NPI number for Roosevelt 26 Dentistry P.C. is 1114237518. It was assigned to this organization in the NPPES registry on October 19, 2010.

Q: What is Roosevelt 26 Dentistry P.C.'s specialty?

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

Active since October 19, 2010

103-10 ROOSEVELT AVENUE, 2ND FLR, CORONA, NY 11368(718) 779-2626 Get Directions Write a Review

NPPES record last updated: October 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Roosevelt 26 Dentistry P.c. NPPES

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

ROOSEVELT 26 DENTISTRY P.C. (NPI 1114237518) is a healthcare organization registered as a general practice in Corona, New York and active in the NPI registry since October 2010. The organization lists Faramarz Khalili, Owner, as its authorized official.

NPPES Registry Identity

NPI1114237518

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameROOSEVELT 26 DENTISTRY P.C.

Location Address103-10 ROOSEVELT AVENUE, 2ND FLRCorona, NY 11368

Mailing Address10310 Roosevelt Ave Fl 2Corona, NY 11368-2330 · (718) 779-2626

Phone(718) 779-2626

Organization SubpartNo

Authorized OfficialFaramarz KhaliliOwner · (718) 779-2626

Enumeration DateOctober 19, 2010

✔ NPI 1114237518 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.

103-10 ROOSEVELT AVENUE, 2ND FLR, Corona, NY 11368

Open in Google Maps ↗

Other Identifiers 1

Medicaid01804719NY

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.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 Roosevelt 26 Dentistry P.C.'s NPI number?

The NPI number for Roosevelt 26 Dentistry P.C. is 1114237518. It was assigned to this organization in the NPPES registry on October 19, 2010.

Where is Roosevelt 26 Dentistry P.C. located?

Roosevelt 26 Dentistry P.C. is located at 103-10 Roosevelt Avenue, 2nd Flr, Corona, NY 11368. The listed phone number is (718) 779-2626.

What is Roosevelt 26 Dentistry P.C.'s specialty?

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

What insurance does Roosevelt 26 Dentistry P.C. accept?

Health plans from UnitedHealthcare list Roosevelt 26 Dentistry P.C. 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 Roosevelt 26 Dentistry P.C. was last updated on October 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.