Manor Dental PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

MANOR DENTAL PC

Practice address

6134 188TH St
Suite 204
Fresh Meadows, NY 11365-2726

Phone

(718) 454-8585

Fax

(718) 454-3569

NPI assigned

Feb 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Arthur E Asadorian, DMD

Title

President

Phone

(516) 775-2330

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124167473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6134 188TH ST",
            "address_2": "SUITE 204",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652726",
            "telephone_number": "718-454-8585",
            "fax_number": "718-454-3569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6134 188TH ST",
            "address_2": "SUITE 204",
            "city": "FRESH MEADOWS",
            "state": "NY",
            "postal_code": "113652726",
            "telephone_number": "718-454-8585",
            "fax_number": "718-454-3569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOR DENTAL PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ASADORIAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "516-775-2330",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sree D Malepati, RPH
• Angelina Mamanova
• Abigail Mandel, LMSW
• Chloe Andrea Mangila, OTR/L
• Shira Manheim, NP
• Katherine Mantzikos, DMD
• Jan Nuel Sales Manuel, PT
• Gina Marasa-Catania, SPEECH-LANGUAGE PATH
• Rose M Marcus, MD
• Sharielle Marescot

• General Practice Dentistry in Fresh Meadows, NY
• Providers in Fresh Meadows, 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 Aug 22, 2020; 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.