Queens Dental Associates PC

Primary specialty

PeriodonticsTaxonomy code 1223P0300X

Legal business name

QUEENS DENTAL ASSOCIATES PC

Doing business as

Queens Center Dental PC

Practice address

90-15 Queens Blvd
Elmhurst, NY 11373

Phone

(718) 760-1616

Fax

(718) 760-9641

NPI assigned

Aug 4, 2006

Last updated

Sep 11, 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

Mr. Alexander Mikhaliou, DDS

Title

President

Phone

(718) 760-1616

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Queens Center Dental PC Doing business as

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1093723082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90-15 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-760-1616",
            "fax_number": "718-760-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90-15 QUEENS BLVD",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "718-760-1616",
            "fax_number": "718-760-9641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS DENTAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "MIKHALIOU",
        "authorized_official_first_name": "ALEXANDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-760-1616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0221X",
            "taxonomy_group": "",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223P0300X",
            "taxonomy_group": "",
            "desc": "Dentist, Periodontics",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02663298",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Queens Center Dental PC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Qlimg Elmhurst Medical Office
• Qlimg Elmhurst Ped & Multi-Spec Office
• QRC Physical Therapy PC
• Queens Center Adult Day Care LLC
• Queens Center Chiropractic PC
• Queens Medical Office, P.C.
• Queens Pediatric Cardiology, PC
• Queens Physical Medicine & Rehab, PC
• Queens Rehabilitation Center
• Queens Spine Chiropractic PC

• Periodontics in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Periodontics in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 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.