Jackson Heights Family Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

045279 Issued in NY

Legal business name

JACKSON HEIGHTS FAMILY DENTAL PLLC

Practice address

35-60 74TH Street
Suite #103
Jackson Heights, NY 11372-4316

Phone

(718) 898-0300

Fax

(718) 478-1123

NPI assigned

Jun 20, 2011

Last updated

Jun 20, 2011By 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. Lily W Eng, DDS

Title

Owner

Phone

(718) 898-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1308528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308528000000",
    "number": "1205122116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35-60 74TH STREET",
            "address_2": "SUITE #103",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724316",
            "telephone_number": "718-898-0300",
            "fax_number": "718-478-1123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35-60 74TH STREET",
            "address_2": "SUITE #103",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113724316",
            "telephone_number": "718-898-0300",
            "fax_number": "718-478-1123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKSON HEIGHTS FAMILY DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-20",
        "last_updated": "2011-06-20",
        "status": "A",
        "authorized_official_last_name": "ENG",
        "authorized_official_first_name": "LILY",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-898-0300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "045279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jackson Heights Care Center, LLC (Regal Heights Rehabilitation & Health Care Center)
• Jackson Heights Dental Care
• Jackson Heights Dental Group
• Jackson Heights Dental Mr, PC (Jackson Heights Dental Center)
• Jackson Heights Drugs Inc. (Bangladesh Farmacia)
• Jackson Heights International Footcare, PC
• Jackson Heights Latin Medical Group PC
• Jackson Heights LLC (Western Queens Health Associates)
• Jackson Heights Medical Offices PC
• Jackson Heights Medical, P.C.

• General Practice Dentistry in Jackson Heights, NY
• Providers in Jackson Heights, 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 Jun 20, 2011; 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.