Forest Hills Dental ,P.C.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046175 Issued in NY

Legal business name

FOREST HILLS DENTAL ,P.C.

Practice address

10210 66TH Rd
Suite 1D
Forest Hills, NY 11375-2047

Phone

(718) 275-9792

Fax

(718) 997-8362

NPI assigned

Jul 15, 2006

Organization subpart

No

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

Authorized official

Name

Gregory Mark, D.D.S.

Title

Owner

Phone

(718) 275-9792

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

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

• Danielle Zoya Mark

  • General Practice Dentistry
  • Forest Hills, NY
  • NPI 1821775453
  NPD (past)
• Daniel Shimunov, DDS

  • Student in an Organized Health Care Education/Training Program
  • Forest Hills, NY
  • NPI 1114484839
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194741546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10210 66TH RD",
            "address_2": "SUITE 1D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752047",
            "telephone_number": "718-275-9792",
            "fax_number": "718-997-8362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10210 66TH RD",
            "address_2": "SUITE 1D",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752047",
            "telephone_number": "718-275-9792",
            "fax_number": "718-997-8362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOREST HILLS DENTAL ,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARK",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-275-9792",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01584454",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Forest Hills Acupuncture & Physical Therapy PLLC
• Forest Hills Acupuncture, PC
• Forest Hills Ambulatory Medical Care PLLC
• Forest Hills Audiology PC
• Forest Hills Care Center
• Forest Hills Dental Care
• Forest Hills Family Dental, PLLC
• Forest Hills Gastroenterology P.C.
• Forest Hills Hematology & Oncology PC
• Forest Hills Hospital

• General Practice Dentistry in Forest Hills, NY
• Providers in Forest Hills, 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.