Maritza Nunez, DDS

Individual provider Active NPI General Practice Dentistry · Jackson HTS, NY

NPI 1093705352 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1093705352
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
043269 (NY)
Practice address
3448 93Rd St
Jackson HTS, NY 11372-3744
Phone
(718) 565-6740
Fax
(718) 335-9834
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
043269NYMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 043269 NY Yes

Addresses

Primary practice location

3448 93Rd St
Jackson HTS, NY 11372-3744

Mailing address

3448 93Rd St
Jackson HTS, NY 11372-3744
Phone (718) 565-6740

Other identifiers

IdentifierTypeStateIssuer
01234573MedicaidNY

Other providers in Jackson HTS, NY

All providers in Jackson HTS, NY · General Practice Dentistry in New York

Sources for this page

Verify at the official NPI Registry.