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GLENDALE BOUTIQUE DENTAL
NPI 1285079962
Clinic/Center - Dental in Glendale, NY

Active since May 07, 2013
6835 MYRTLE AVE, GLENDALE, NY 11385(718) 821-0170 Get Directions Write a Review

NPPES record last updated: July 19, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Glendale Boutique Dental NPPES

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

GLENDALE BOUTIQUE DENTAL (NPI 1285079962) is a healthcare organization registered as a dental in Glendale, New York and active in the NPI registry since May 2013. The organization lists Yelena M Mullakandova, Owner/dentist, as its authorized official.

NPPES Registry Identity

NPI1285079962
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameBOUTIQUE DENTAL
Location Address6835 MYRTLE AVEGlendale, NY 11385-7234
Mailing Address6835 Myrtle AveGlendale, NY 11385-7234 · (718) 821-0170
Phone(718) 821-0170
Organization SubpartNo
Authorized OfficialYelena M MullakandovaOwner/dentist · (917) 640-1100
Enumeration DateMay 7, 2013
Last NPPES UpdateJuly 19, 2014
✔ NPI 1285079962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
License✔ Licensed in NY · 055256
6835 MYRTLE AVE, Glendale, NY 11385
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Other Names 1

Other NameGlendale Boutique Dental

Other Identifiers 1

Medicaid03263605NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include UnitedHealthcare.Insurance ›

Other Providers at the Same Location NPPES 5

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

WINTHROP COMMUNITY MEDICAL AFFILIATES, PC
Internal Medicine
6835 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 386-8950
DR. DAVID JAKUBOWITZ DDS
Dentist (General Practice)
6835 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 821-0170
GLENDALE MEDICAL GROUP
Internal Medicine
6835 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 386-9876
PULAT PULATOV
Family Medicine
6835 MYRTLE AVE
GLENDALE, NY 11385
Queens County (516) 354-1600
PISCIOTTO AND PISCIOTTO MEDICAL P C
Internal Medicine
6835 MYRTLE AVE
GLENDALE, NY 11385
Queens County (718) 386-9876

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 Boutique Dental's NPI number?

The NPI number for Boutique Dental is 1285079962. It was assigned to this organization in the NPPES registry on May 7, 2013. The provider is also known as Glendale Boutique Dental.

Where is Boutique Dental located?

Boutique Dental is located at 6835 Myrtle Ave, Glendale, NY 11385. The listed phone number is (718) 821-0170.

What is Boutique Dental's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

What insurance does Boutique Dental accept?

Health plans from UnitedHealthcare list Boutique Dental 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 Boutique Dental was last updated on July 19, 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.