1 Davison Ave Dentistry PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

1 DAVISON AVE DENTISTRY PLLC

Doing business as

Elident

Practice address

1 Davison Ave W
Oceanside, NY 11572-2114

Phone

(646) 593-9305

NPI assigned

Sep 30, 2025

Last updated

Oct 9, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Gavriel Gulamov, DDSNPI 1083305338

Title

Owner

Phone

(646) 593-9305

Specialties & licenses 1

Addresses

Other names 1

• ELIDENT Doing business as

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.

• Gavriel Gulamov

  • Dentist
  • Richmond Hill, NY
  • NPI 1083305338
  NPD Authorized official

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

{
    "created_epoch": "1759190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759968000000",
    "number": "1063386555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 DAVISON AVE W",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DAVISON AVE W",
            "city": "OCEANSIDE",
            "state": "NY",
            "postal_code": "115722114",
            "telephone_number": "646-593-9305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "1 DAVISON AVE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-30",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A",
        "authorized_official_last_name": "GULAMOV",
        "authorized_official_first_name": "GAVRIEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "646-593-9305",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ELIDENT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• A Khan Physician PC
• A Little Art Big Deal, LLC
• Daniel D Aaron, MD
• Rebecca K Aaronson
• Geraldine Abbey-Mensah, M.D.

• General Practice Dentistry in Oceanside, NY
• Providers in Oceanside, 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 Oct 9, 2025; 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.