Mid Queens Dental & Associates

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

046016 Issued in NY

Legal business name

MID QUEENS DENTAL & ASSOCIATES

Practice address

6059 83Rd PL
Middle Village, NY 11379-5416

Phone

(718) 426-2600

Fax

(718) 426-3072

NPI assigned

Jan 24, 2007

Organization subpart

No

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

Authorized official

Name

Dr. George Dourmas, DDS

Title

Vice President

Phone

(718) 426-2600

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1316092604",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6059 83RD PL",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795416",
            "telephone_number": "718-426-2600",
            "fax_number": "718-426-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6059 83RD PL",
            "city": "MIDDLE VILLAGE",
            "state": "NY",
            "postal_code": "113795416",
            "telephone_number": "718-426-2600",
            "fax_number": "718-426-3072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MID QUEENS DENTAL & ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "DOURMAS",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "718-426-2600",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "046016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Metropolitan Family Dental, P.C.
• Metropolitan Podiatry PLLC
• Priscilla Mezrahi, MA.CCC-SLP
• MG Cardiology PLLC
• Michael Nichols, PC
• Middle Village Chiropractic & Physical Therapy, PLLC
• Middle Village Pharmacy
• Millennium Urology PLLC
• Mineola Eye Center 2 Inc (20/20 Eye Care)
• Eileen Theresa Moloney, MSED AND TSHH

• General Practice Dentistry in Middle Village, NY
• Providers in Middle Village, 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 27, 2008; 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.