United Dental Associate P.C

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

UNITED DENTAL ASSOCIATE P.C

Practice address

10440 Queens Blvd Ste 1Y
Forest Hills, NY 11375-3658

Phone

(718) 459-3159

NPI assigned

Jul 1, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Revaz Beridze, DDSNPI 1073642823

Title

President

Phone

(718) 459-3159

Specialties & licenses 1

Addresses

Other names 1

• United Dental Associate P.C 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.

• Revaz Beridze, DDS

  • General Practice Dentistry
  • Forest Hills, NY
  • NPI 1073642823
  NPD Authorized official
• Zoya Zak, DDS

  • General Practice Dentistry
  • Forest Hills, NY
  • NPI 1932239217
  NPD (past)

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

{
    "created_epoch": "1751328000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1751328000000",
    "number": "1225927494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10440 QUEENS BLVD STE 1Y",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753658",
            "telephone_number": "718-459-3159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10440 QUEENS BLVD STE 1Y",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113753658",
            "telephone_number": "718-459-3159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNITED DENTAL ASSOCIATE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-01",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A",
        "authorized_official_last_name": "BERIDZE",
        "authorized_official_first_name": "REVAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-459-3159",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "United Dental Associate P.C",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Tania Liseth Ulloa
• Nafisa Umarzoda
• Indzhyfe Umerova
• Tova Umlauf
• Unapologetically You Mental Health Counseling, PLLC
• Universal Medical Practice PC
• Universalfamily Medicine PC
• Sekhar C Upadhyayula, MD
• Urban RX Inc
• Urban RX Inc

• Dental Clinic/Center in Forest Hills, NY
• Providers in Forest Hills, 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 Jul 1, 2025; 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.