Organization Active NPI

Sweet Tooth Dental Care PC

  • Dental Clinic/Center
  • Bayside, NY
National Provider Identifier
1235050949
Registry record updated Jul 21, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
SWEET TOOTH DENTAL CARE PC
Practice address
21339 40TH Ave
Bayside, NY 11361-2046
Phone
(718) 489-8809
NPI assigned
Jul 21, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2026

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

Authorized official

Name
Ji Hyae Park, DDS
Title
President
Phone
(917) 575-4535

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

21339 40TH Ave
Bayside, NY 11361-2046

Mailing address

21339 40TH Ave
Bayside, NY 11361-2046

National Provider Directory

National Provider Directory

Locations

21339 40th Ave
Bayside, NY 11361

NPI Registry JSON

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

{
    "created_epoch": "1784592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784592000000",
    "number": "1235050949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21339 40TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21339 40TH AVE",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113612046",
            "telephone_number": "718-489-8809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWEET TOOTH DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-07-21",
        "last_updated": "2026-07-21",
        "certification_date": "2026-07-21",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "JI HYAE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-575-4535",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bayside, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2026; 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.