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DEBORAHNINADENTALOFFICEPC
NPI 1881991214
Dentist - General Practice in Jackson Heights, NY

Active since February 21, 2011
9203 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372(718) 429-6622(718) 429-6669 Get Directions Write a Review

NPPES record last updated: January 9, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Deborahninadentalofficepc NPPES

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

DEBORAHNINADENTALOFFICEPC (NPI 1881991214) is a healthcare organization registered as a general practice in Jackson Heights, New York and active in the NPI registry since February 2011. The organization lists Deborah Nina, Owner, as its authorized official.

NPPES Registry Identity

NPI1881991214
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameDEBORAHNINADENTALOFFICEPC
Location Address9203 ROOSEVELT AVEJackson Heights, NY 11372-7941
Mailing Address9203 Roosevelt AveJackson Heights, NY 11372-7941 · (718) 429-6622 · Fax (718) 429-6669
Phone(718) 429-6622
Fax(718) 429-6669
Organization SubpartNo
Authorized OfficialDeborah NinaOwner · (718) 429-6622
Enumeration DateFebruary 21, 2011
Last NPPES UpdateJanuary 9, 2012
✔ NPI 1881991214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in NY · 050127-1✔ Licensed in NY · 048800-1✔ Licensed in NY · 052578-1✔ Licensed in NY · 055242-1
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.
Also ListedDentistTaxonomy 122300000X · License 055474-1 (NY), 048101-1 (NY)
9203 ROOSEVELT AVE, Jackson Heights, NY 11372
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Other Identifiers 1

Medicaid02348667NY

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

Other Providers at the Same Location NPPES 2

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

CAROLINE KOSLOSKY DDS
Dentist
9203 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 429-6622
TIANA NICHELLE TYNDALL DDS
Dentist (General Practice)
9203 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 429-6622

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 Deborahninadentalofficepc's NPI number?

The NPI number for Deborahninadentalofficepc is 1881991214. It was assigned to this organization in the NPPES registry on February 21, 2011.

Where is Deborahninadentalofficepc located?

Deborahninadentalofficepc is located at 9203 Roosevelt Ave, Jackson Heights, NY 11372. The listed phone number is (718) 429-6622.

What is Deborahninadentalofficepc'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 Deborahninadentalofficepc was last updated on January 9, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.