Executive Smiles Inc
Organization Active NPI General Practice Dentistry · East Rockaway, NY
NPI 1144700451 · NPPES record last updated Aug 16, 2018
Key facts
- NPI
- 1144700451
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 057005-1 (NY)
- Legal business name
- EXECUTIVE SMILES INC
- Practice address
- 460 Atlantic Ave
East Rockaway, NY 11518-1547 - Phone
- (516) 792-6533
- Fax
- (516) 792-6533
- NPI assigned
- Aug 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Dr. Arshia Golian, DDS
- Title
- Dentist
- Phone
- (516) 792-6533
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | 057005-1 | NY | Yes |
Addresses
Primary practice location
460 Atlantic Ave
East Rockaway, NY 11518-1547
Mailing address
47 Stepping Stone LN
Great Neck, NY 11024-1313
Phone (516) 792-6533
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03800300 | Medicaid | NY |
Other providers in East Rockaway, NY
- Early Talk, Inc.
- East Rockaway Family Footcare, P.C.
- East Rockaway Ufsd
- Maria D Egidio
- Aimee Estrin
- Eyecare & Eyewear Inc.
- Dawn M Falbee
- Alexander Farca
- Stephen Feffer
- Anne Finlan
All providers in East Rockaway, NY · General Practice Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 16, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.