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BELLEROSE DENTAL P.C.
NPI 1336498070
Dentist - Oral and Maxillofacial Surgery in Queens, NY

Active since September 07, 2012
102-32 JAMAICA AVENUE, QUEENS, NY 11418(718) 575-1889 Get Directions Write a Review

NPPES record last updated: September 7, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bellerose Dental P.c. NPPES

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

BELLEROSE DENTAL P.C. (NPI 1336498070) is a healthcare organization registered as an oral and maxillofacial surgery in Queens, New York and active in the NPI registry since September 2012. The organization lists Iosif Uvaydov, Owner, as its authorized official.

NPPES Registry Identity

NPI1336498070
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameBELLEROSE DENTAL P.C.
Location Address102-32 JAMAICA AVENUEQueens, NY 11418
Mailing Address72-36 112th Street Apt.612Forest Hills, NY 11375 · (718) 575-1889
Phone(718) 575-1889
Organization SubpartNo
Authorized OfficialIosif UvaydovOwner · (718) 575-1889
Enumeration DateSeptember 7, 2012
✔ NPI 1336498070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in NY · 044283
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.
102-32 JAMAICA AVENUE, Queens, NY 11418
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Other Identifiers 1

Medicaid02585808NY

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

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 Bellerose Dental P.C.'s NPI number?

The NPI number for Bellerose Dental P.C. is 1336498070. It was assigned to this organization in the NPPES registry on September 7, 2012.

Where is Bellerose Dental P.C. located?

Bellerose Dental P.C. is located at 102-32 Jamaica Avenue, Queens, NY 11418. The listed phone number is (718) 575-1889.

What is Bellerose Dental P.C.'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 Bellerose Dental P.C. was last updated on September 7, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.