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ADVANCED DENTAL SPECIALTIES OF NY
NPI 1275830465
Dentist - Oral and Maxillofacial Surgery in Hollis, NY

Active since February 24, 2011
19711 HILLSIDE AVE, HOLLIS, NY 11423(718) 740-6000(718) 740-6004 Get Directions Write a Review

NPPES record last updated: December 15, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Advanced Dental Specialties Of Ny NPPES

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

ADVANCED DENTAL SPECIALTIES OF NY (NPI 1275830465) is a healthcare organization registered as an oral and maxillofacial surgery in Hollis, New York and active in the NPI registry since February 2011. The organization lists Benjamin Katayev, President, as its authorized official.

NPPES Registry Identity

NPI1275830465
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameADVANCED DENTAL OF NEW YORK PC
Location Address19711 HILLSIDE AVEHollis, NY 11423-2126
Mailing Address197-11 Hillside AvenueHollis, NY 11423-2516 · (718) 740-6000 · Fax (718) 740-6004
Phone(718) 740-6000
Fax(718) 740-6004
Organization SubpartNo
Authorized OfficialBenjamin KatayevPresident · (718) 740-6000
Enumeration DateFebruary 24, 2011
Last NPPES UpdateDecember 15, 2017
✔ NPI 1275830465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 053869
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 054577 (NY)
Also ListedDentist · PeriodonticsTaxonomy 1223P0300X · License 053253 (NY)
19711 HILLSIDE AVE, Hollis, NY 11423
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Other Names 1

Doing Business AsAdvanced Dental Specialties Of Ny

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

DR. ISAAK YELIZAR DDS
Dentist (Orthodontics and Dentofacial Orthopedics)
19711 HILLSIDE AVE
HOLLIS, NY 11423
Queens County (718) 740-6000

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 Advanced Dental Of New York PC's NPI number?

The NPI number for Advanced Dental Of New York PC is 1275830465. It was assigned to this organization in the NPPES registry on February 24, 2011. The provider is doing business as Advanced Dental Specialties Of Ny.

Where is Advanced Dental Of New York PC located?

Advanced Dental Of New York PC is located at 19711 Hillside Ave, Hollis, NY 11423. The listed phone number is (718) 740-6000.

What is Advanced Dental Of New York PC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Advanced Dental Of New York PC was last updated on December 15, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.