Village Green Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

0389861 Issued in NY

Legal business name

VILLAGE GREEN DENTAL PC

Practice address

337 Hampton GRN
Staten Island, NY 10312-1722

Phone

(718) 948-0870

NPI assigned

Jun 6, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Valery Dubovikov

Title

DDS

Phone

(718) 948-0870

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307318400000",
    "number": "1003100124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 HAMPTON GRN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "337 HAMPTON GRN",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103121722",
            "telephone_number": "718-948-0870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE GREEN DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2011-06-06",
        "status": "A",
        "authorized_official_last_name": "DUBOVIKOV",
        "authorized_official_first_name": "VALERY",
        "authorized_official_title_or_position": "DDS",
        "authorized_official_telephone_number": "718-948-0870",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "0389861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alessandra Vilardo, MS CCC-SLP
• Heloisa Vilas Boas, MSED
• Manuel Villa Sanchez
• Gerard Michael Villa, DDS
• Eric Villafane, M.D.
• Erica Villamar, OTR/L
• Sissy L Villamar
• Janine Banina Villanueva, LPN
• Jocelyn Villanueva, MD
• Christina Villarino

• General Practice Dentistry in Staten Island, NY
• Providers in Staten Island, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.