IDEAL SMILE DENTAL, P.C.
NPI 1548685357
Dentist - General Practice in Elmhurst, NY

Q: What is Ideal Smile Dental, P.C.'s NPI number?

The NPI number for Ideal Smile Dental, P.C. is 1548685357. It was assigned to this organization in the NPPES registry on March 3, 2014.

Q: What is Ideal Smile Dental, P.C.'s specialty?

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

Active since March 03, 2014

9123 QUEENS BLVD # B, ELMHURST, NY 11373(718) 205-2055(718) 205-2355 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Ideal Smile Dental, P.c. NPPES

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

IDEAL SMILE DENTAL, P.C. (NPI 1548685357) is a healthcare organization registered as a general practice in Elmhurst, New York and active in the NPI registry since March 2014. The organization lists Yuri Reshetnikov, Owner, as its authorized official.

NPPES Registry Identity

NPI1548685357

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameIDEAL SMILE DENTAL, P.C.

Location Address9123 QUEENS BLVD # BElmhurst, NY 11373-5531

Mailing AddressPo Box 740059Rego Park, NY 11374-0059 · (718) 205-2055 · Fax (718) 205-2355

Phone(718) 205-2055

Fax(718) 205-2355

Organization SubpartNo

Authorized OfficialYuri ReshetnikovOwner · (718) 205-2055

Enumeration DateMarch 3, 2014

Last NPPES UpdateMarch 7, 2023

✔ NPI 1548685357 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 · 050616

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.

9123 QUEENS BLVD # B, Elmhurst, NY 11373

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Other Identifiers 1

Medicaid02457909NY

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

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 Ideal Smile Dental, P.C.'s NPI number?

The NPI number for Ideal Smile Dental, P.C. is 1548685357. It was assigned to this organization in the NPPES registry on March 3, 2014.

Where is Ideal Smile Dental, P.C. located?

Ideal Smile Dental, P.C. is located at 9123 Queens Blvd # B, Elmhurst, NY 11373. The listed phone number is (718) 205-2055.

What is Ideal Smile Dental, P.C.'s specialty?

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

What insurance does Ideal Smile Dental, P.C. accept?

Health plans from UnitedHealthcare list Ideal Smile Dental, 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 Ideal Smile Dental, P.C. was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.