Organization Active NPI

Al Dente Dental of Roslyn, P.C.

  • Dentist
  • Roslyn Heights, NY
National Provider Identifier
1053025007
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
AL DENTE DENTAL OF ROSLYN, P.C.
Practice address
70 Glen Cove Rd Ste 103
Roslyn Heights, NY 11577-1729
Phone
(516) 499-5393
Fax
(516) 499-5393
NPI assigned
Jan 12, 2023
Last updated
Jan 12, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Authorized official

Name
Dr. Edward Shalomov, DDSNPI 1699921437
Title
President
Phone
(516) 499-5393

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
Dentist 122300000X NU Primary

Addresses

Primary practice location

70 Glen Cove Rd Ste 103
Roslyn Heights, NY 11577-1729

Mailing address

70 Glen Cove Rd Ste 103
Roslyn Heights, NY 11577-1729
Phone (516) 499-5393

National Provider Directory

National Provider Directory

Locations

70 Glen Cove Rd
Ste 103
Roslyn Heights, NY 11577
Phone (516) 499-5393

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673481600000",
    "number": "1053025007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE RD STE 103",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771729",
            "telephone_number": "516-499-5393",
            "fax_number": "516-499-5393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 GLEN COVE RD STE 103",
            "city": "ROSLYN HEIGHTS",
            "state": "NY",
            "postal_code": "115771729",
            "telephone_number": "516-499-5393",
            "fax_number": "516-499-5393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AL DENTE DENTAL OF ROSLYN, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A",
        "authorized_official_last_name": "SHALOMOV",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-499-5393",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roslyn Heights, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; 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.