State Dental Arts P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

052176 Issued in NY

Legal business name

STATE DENTAL ARTS P.C

Practice address

6715 Roosevelt Ave
Woodside, NY 11377

Phone

(917) 815-5767

NPI assigned

Feb 26, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Ligia V State, DDSNPI 1629157250

Title

Dentist

Phone

(917) 815-5767

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Ligia V State, D.D.S

  • General Practice Dentistry
  • Bronx, NY
  • NPI 1629157250
  NPD (past) Authorized official

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

{
    "created_epoch": "1361836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361836800000",
    "number": "1114267283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6715 ROOSEVELT AVE",
            "city": "WOODSIDE",
            "state": "NY",
            "postal_code": "11377",
            "telephone_number": "917-815-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE DENTAL ARTS P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-26",
        "last_updated": "2013-02-26",
        "status": "A",
        "authorized_official_last_name": "STATE",
        "authorized_official_first_name": "LIGIA",
        "authorized_official_middle_name": "V",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "917-815-5767",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "052176",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nelson Ramon Sosa, LMSW
• Anatoly Spektor, OTR
• Kimberly Standfast, LCSW
• Star Medserve, P.C.
• Christina Marie Stasio
• Kaela Stephen
• Jacqueline Brenetta Stewart, PHYSICAL THERAPIST
• Strategy Anesthesia New York PLLC
• Streetlink Inc
• Nicole M Stroke, LMSW

• General Practice Dentistry in Woodside, NY
• Providers in Woodside, 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 Feb 26, 2013; 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.