Beautiful Smiles by Your Dent PC

Primary specialty

DentistTaxonomy code 122300000X

License

047344 Issued in NY

Legal business name

BEAUTIFUL SMILES BY YOUR DENT PC

Practice address

61 55 98TH Street Suite 11
Rego Park, NY 11374

Phone

(718) 699-8854

NPI assigned

Mar 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Zina S Gotlieb, DDS

Title

President Owner

Phone

(718) 699-8854

Specialties & licenses 1

Addresses

Other names 1

• Zina Gotllieb DDS Other name

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043340029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 55 98TH STREET SUITE 11",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-699-8854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 55 98TH STREET SUITE 11",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "11374",
            "telephone_number": "718-699-8854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEAUTIFUL SMILES BY YOUR DENT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GOTLIEB",
        "authorized_official_first_name": "ZINA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT OWNER",
        "authorized_official_telephone_number": "718-699-8854",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Zina Gotllieb DDS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• David Baum
• Kristina Baur, MA, CCC-SLP
• Stephanie M. Bayner, MD
• Martine Bazelais
• Victoria Beaury, LMSW
• Noah Becher, DO
• Evan Berwin Bederman, L.M.H.C.
• Yael Beer, EMT-B
• Beethoven Medical Supply Inc
• Behavioral Learning Inc

• Dentist in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.