QUEENS FAMILY DENTAL LIC
NPI 1902199870
Dentist - General Practice in Astoria, NY

Active since May 25, 2011
2602 DITMARS BLVD, ASTORIA, NY 11105(718) 278-5700(718) 278-5794 Get Directions Write a Review

NPPES record last updated: May 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Queens Family Dental Lic NPPES

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

QUEENS FAMILY DENTAL LIC (NPI 1902199870) is a healthcare organization registered as a general practice in Astoria, New York and active in the NPI registry since May 2011. The organization lists William Eliades, Owner, as its authorized official.

NPPES Registry Identity

NPI1902199870
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameQUEENS FAMILY DENTAL LIC
Location Address2602 DITMARS BLVDAstoria, NY 11105-3123
Mailing Address2602 Ditmars BlvdAstoria, NY 11105-3123 · (718) 278-5700 · Fax (718) 278-5794
Fax(718) 278-5794
Organization SubpartNo
Authorized OfficialWilliam EliadesOwner · (718) 278-5700
Enumeration DateMay 25, 2011
NPI 1902199870 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 · 037540
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.
2602 DITMARS BLVD, Astoria, NY 11105

Other Identifiers 1

Medicaid00851547NY

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.

Dentist (General Practice)
2602 DITMARS BLVD
ASTORIA, NY 11105

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 Queens Family Dental Lic's NPI number?

The NPI number for Queens Family Dental Lic is 1902199870. It was assigned to this organization in the NPPES registry on May 25, 2011.

Where is Queens Family Dental Lic located?

Queens Family Dental Lic is located at 2602 Ditmars Blvd, Astoria, NY 11105. The listed phone number is (718) 278-5700.

What is Queens Family Dental Lic'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 Queens Family Dental Lic was last updated on May 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.