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ROOSEVELT DENTAL CARE II P.C.
NPI 1760672893
Dentist - General Practice in Jackson Heights, NY

Active since July 25, 2007
9553 ROOSEVELT AVE, 2ND FLOOR, JACKSON HEIGHTS, NY 11372(718) 334-0431(718) 334-0676 Get Directions Write a Review

NPPES record last updated: July 25, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Roosevelt Dental Care Ii P.c. NPPES

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

ROOSEVELT DENTAL CARE II P.C. (NPI 1760672893) is a healthcare organization registered as a general practice in Jackson Heights, New York and active in the NPI registry since July 2007. The organization lists Edwin Ostiago, Secretary, as its authorized official.

NPPES Registry Identity

NPI1760672893
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameROOSEVELT DENTAL CARE II P.C.
Location Address9553 ROOSEVELT AVE, 2ND FLOORJackson Heights, NY 11372-8028
Mailing Address9553 Roosevelt Ave, 2nd FloorJackson Heights, NY 11372-8028 · (718) 334-0431 · Fax (718) 334-0676
Phone(718) 334-0431
Fax(718) 334-0676
Organization SubpartNo
Authorized OfficialEdwin OstiagoSecretary · (718) 334-0431
Enumeration DateJuly 25, 2007
✔ NPI 1760672893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
9553 ROOSEVELT AVE, Jackson Heights, NY 11372
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Other Identifiers 1

Medicaid02850695NY

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

Other Providers at the Same Location NPPES

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

EDWIN A. BERRIOS RPH
Pharmacist
9553 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 396-4030

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 Roosevelt Dental Care II P.C.'s NPI number?

The NPI number for Roosevelt Dental Care II P.C. is 1760672893. It was assigned to this organization in the NPPES registry on July 25, 2007.

Where is Roosevelt Dental Care II P.C. located?

Roosevelt Dental Care II P.C. is located at 9553 Roosevelt Ave 2nd Floor, Jackson Heights, NY 11372. The listed phone number is (718) 334-0431.

What is Roosevelt Dental Care II P.C.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Roosevelt Dental Care II P.C. was last updated on July 25, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.