Dental America PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041162 Issued in NY

Legal business name

DENTAL AMERICA PC

Practice address

81 14 Queens Blvd.
Elmhurst, NY 11373

Phone

(718) 533-1515

Fax

(718) 289-6508

NPI assigned

Aug 25, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Fabio Gerardo Cordero, DDS

Title

President

Phone

(718) 533-1515

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1206489600000",
    "number": "1033227798",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8114 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113733757",
            "telephone_number": "718-533-1515",
            "fax_number": "718-289-6508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 14 QUEENS BLVD.",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-533-1515",
            "fax_number": "718-289-6508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL AMERICA PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-25",
        "last_updated": "2008-03-26",
        "status": "A",
        "authorized_official_last_name": "CORDERO",
        "authorized_official_first_name": "FABIO",
        "authorized_official_middle_name": "GERARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-533-1515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL DENTAL IPA OF NY",
            "identifier": "9200032",
            "state": "NY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01435776",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Linda Ann Deluxe, M.D.
• Judith Delvalle, MD
• Marian B Demeny, MD
• Dowela Manacap Demetillo
• Selim Demirdelen, MD
• Salvador Delariarte Deocampo
• Candace Deraffele
• Maureen Dijamco Desepeda, PT
• Ruthgina Desinor
• Dev R. Master, MD, PLLC

• General Practice Dentistry in Elmhurst, NY
• Providers in Elmhurst, 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 Mar 26, 2008; 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.