Organization Active NPI

Friendly Smile Dental Care PLLC

  • Multi-Specialty Clinic/Center
  • Flushing, NY
National Provider Identifier
1043168388
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
FRIENDLY SMILE DENTAL CARE PLLC
Practice address
14205 Roosevelt Ave Ste 105
Flushing, NY 11354-6005
Phone
(718) 445-9631
NPI assigned
Mar 20, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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

Authorized official

Name
Dr. Samuel Kang, DMDNPI 1184182727
Title
Owner
Phone
(917) 353-4202

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
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

14205 Roosevelt Ave Ste 105
Flushing, NY 11354-6005

Mailing address

14205 Roosevelt Ave Ste 105
Flushing, NY 11354-6005

National Provider Directory

National Provider Directory

Locations

14205 Roosevelt Ave
Ste 105
Flushing, NY 11354
Phone (718) 445-9631

Practitioners & affiliated clinicians

Practitioners 2

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": "1773964800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773964800000",
    "number": "1043168388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14205 ROOSEVELT AVE STE 105",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14205 ROOSEVELT AVE STE 105",
            "city": "FLUSHING",
            "state": "NY",
            "postal_code": "113546005",
            "telephone_number": "718-445-9631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRIENDLY SMILE DENTAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-20",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A",
        "authorized_official_last_name": "KANG",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-353-4202",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flushing, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.