Dental Fairy PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DENTAL FAIRY PC

Doing business as

Bedford Dental

Practice address

9830 67TH Ave Ste DD
Rego Park, NY 11374-4944

Phone

(718) 459-1040

NPI assigned

Jun 8, 2023

Last updated

Jun 8, 2023By 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

Dr. Isabel Yuabov, DDSNPI 1427673169

Title

President

Phone

(347) 357-6787

Specialties & licenses 1

Addresses

Other names 1

• Bedford Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Isabel Yuabov, DDS

  • Dentist
  • Bellmore, NY
  • NPI 1427673169
  NPD Authorized official
• Elizabeth Yuabov, DDS

  • General Practice Dentistry
  • Rego Park, NY
  • NPI 1578739587
  NPD (past)

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

{
    "created_epoch": "1686182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686182400000",
    "number": "1144914326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9830 67TH AVE STE DD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9830 67TH AVE STE DD",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113744944",
            "telephone_number": "718-459-1040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTAL FAIRY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-08",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A",
        "authorized_official_last_name": "YUABOV",
        "authorized_official_first_name": "ISABEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-357-6787",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bedford Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dexter Fajardo Delima, PT
• Moisey Delman, MD
• Renee Delrossi, LMSW
• Charles J. Demarco, M.D.
• Kristyn R Demartinis
• Dental Implants & Cosmetics of Rego Park & Forest Hills PC
• Trisha Alyssa Deonarine
• Dermatology&Aesthetics P.C.
• Cynthia Enriquez Desepeda, MD EARLY CHILDHOOD
• Devine Family Corp

• Dental Clinic/Center in Rego Park, NY
• Providers in Rego Park, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; 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.