Organization Active NPI

Iqbal Dental Group- Hicksville LLC

  • General Practice Dentistry
  • Hicksville, NY
National Provider Identifier
1033058086
Registry record updated Mar 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
Legal business name
IQBAL DENTAL GROUP- HICKSVILLE LLC
Practice address
350 S Broadway Ste 24
Hicksville, NY 11801-5006
Phone
(917) 420-0311
NPI assigned
Mar 26, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2026

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

Authorized official

Name
Dr. Mamoon Iqbal, DDSNPI 1497746259
Title
Owner
Phone
(917) 420-0311

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 1223G0001X Primary

Addresses

Primary practice location

350 S Broadway Ste 24
Hicksville, NY 11801-5006

Mailing address

350 S Broadway Ste 24
Hicksville, NY 11801-5006

National Provider Directory

National Provider Directory

Locations

350 S Broadway
Ste 24
Hicksville, NY 11801
Phone (917) 420-0311

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1774483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774483200000",
    "number": "1033058086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 S BROADWAY STE 24",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S BROADWAY STE 24",
            "city": "HICKSVILLE",
            "state": "NY",
            "postal_code": "118015006",
            "telephone_number": "917-420-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IQBAL DENTAL GROUP- HICKSVILLE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-26",
        "last_updated": "2026-03-26",
        "certification_date": "2026-03-26",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "MAMOON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-420-0311",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hicksville, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2026; 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.