LIL PEARLS PEDIATRIC DENTISTRY PLLC
NPI 1669859294
Dentist - Pediatric Dentistry in Rego Park, NY

Active since May 04, 2015
94-11 65TH RD, SUITE 1B, REGO PARK, NY 11374(347) 682-5688 Get Directions Write a Review

NPPES record last updated: May 4, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lil Pearls Pediatric Dentistry Pllc NPPES

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

LIL PEARLS PEDIATRIC DENTISTRY PLLC (NPI 1669859294) is a healthcare organization registered as a pediatric dentistry in Rego Park, New York and active in the NPI registry since May 2015. The organization lists Jeffrey Fong, Member, as its authorized official.

NPPES Registry Identity

NPI1669859294
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameLIL PEARLS PEDIATRIC DENTISTRY PLLC
Location Address94-11 65TH RD, SUITE 1BRego Park, NY 11374
Mailing Address94-11 65th Rd, Suite 1bRego Park, NY 11374
Organization SubpartNo
Authorized OfficialJeffrey FongMember · (516) 241-9760
Enumeration DateMay 4, 2015
NPI 1669859294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in NY · 056689-1
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
94-11 65TH RD, Rego Park, NY 11374

Other Identifiers 1

Medicaid03634535NY

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

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 Lil Pearls Pediatric Dentistry PLLC's NPI number?

The NPI number for Lil Pearls Pediatric Dentistry PLLC is 1669859294. It was assigned to this organization in the NPPES registry on May 4, 2015.

Where is Lil Pearls Pediatric Dentistry PLLC located?

Lil Pearls Pediatric Dentistry PLLC is located at 94-11 65th Rd Suite 1B, Rego Park, NY 11374. The listed phone number is (347) 682-5688.

What is Lil Pearls Pediatric Dentistry PLLC's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Lil Pearls Pediatric Dentistry PLLC was last updated on May 4, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.