GREAT SMILES OF NY
NPI 1114398807
Dentist - General Practice in Rego Park, NY

Q: What is Jacob A. Avner, Dds PC's NPI number?

The NPI number for Jacob A. Avner, Dds PC is 1114398807. It was assigned to this organization in the NPPES registry on October 7, 2015. The provider is doing business as Great Smiles Of Ny.

Q: What is Jacob A. Avner, Dds PC's specialty?

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

Active since October 07, 2015

9725 64TH AVE, UNIT: G-3, REGO PARK, NY 11374(718) 275-7300(718) 275-7307 Get Directions Write a Review

NPPES record last updated: October 7, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Great Smiles Of Ny NPPES

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

GREAT SMILES OF NY (NPI 1114398807) is a healthcare organization registered as a general practice in Rego Park, New York and active in the NPI registry since October 2015. The organization lists Jacob Avner, Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1114398807

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameJACOB A. AVNER, DDS PC

Location Address9725 64TH AVE, UNIT: G-3Rego Park, NY 11374-2236

Mailing Address9725 64th Ave, Unit: G-3Rego Park, NY 11374-2236 · (718) 275-7300 · Fax (718) 275-7307

Phone(718) 275-7300

Fax(718) 275-7307

Organization SubpartNo

Authorized OfficialJacob AvnerDentist/owner · (718) 275-7300

Enumeration DateOctober 7, 2015

✔ NPI 1114398807 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 · 0496891

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.

9725 64TH AVE, Rego Park, NY 11374

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Other Names 1

Doing Business AsGreat Smiles Of Ny

Other Identifiers 1

Medicaid02282222NY

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.

MRS. SURI MEIROV

Specialist

9725 64TH AVE, APT D1
REGO PARK, NY 11374

Queens County (347) 634-6735

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 Jacob A. Avner, Dds PC's NPI number?

The NPI number for Jacob A. Avner, Dds PC is 1114398807. It was assigned to this organization in the NPPES registry on October 7, 2015. The provider is doing business as Great Smiles Of Ny.

Where is Jacob A. Avner, Dds PC located?

Jacob A. Avner, Dds PC is located at 9725 64th Ave Unit: G-3, Rego Park, NY 11374. The listed phone number is (718) 275-7300.

What is Jacob A. Avner, Dds 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 Jacob A. Avner, Dds PC was last updated on October 7, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.