Sandeep Bhagat, DMD
Individual provider Active NPI General Practice Dentistry · Corona, NY
NPI 1043433121 · NPPES record last updated Jul 9, 2007
Key facts
- NPI
- 1043433121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 048767 (NY)
- Practice address
- 38-09 Junction Boulevard
2ND Floor
Corona, NY 11368 - Phone
- (718) 639-7100
- NPI assigned
- Apr 10, 2007
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 048767 | NY | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 048767 | NY | Yes |
Addresses
Primary practice location
38-09 Junction Boulevard
2ND Floor
Corona, NY 11368
Mailing address
1292 Port Washington Boulevard.
Port Washington, NY 11050
Phone (516) 365-5043
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02074784 | Medicaid | NY |
Other providers in Corona, NY
- Benemed Physician, PC
- Maria J Bernal
- Marie Antoinette Bernard
- Best Five Star Pharmacy LLC
- Roberto William Betancourth
- Saarika P Bhakta
- Vasundhara Bhatt
- Marc Irwin Bienenstock
- Big Apple Pharmacy Corp
- Blacklion Protective & Risk Management Services Inc.
All providers in Corona, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 9, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.