Dazzling Smile of Astoria D/B/a 82ND Street Dental

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DAZZLING SMILE OF ASTORIA D/B/A 82ND STREET DENTAL

Practice address

8201 Roosevelt Ave
Jackson Heights, NY 11372-7034

Phone

(718) 476-5555

NPI assigned

Feb 24, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Hooman Neman, DDS

Title

Owner

Phone

(718) 225-7645

Specialties & licenses 1

Addresses

Other names 1

• 82nd Street Dental Doing business as

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1336461995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8201 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 ROOSEVELT AVE",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727034",
            "telephone_number": "718-476-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAZZLING SMILE OF ASTORIA D/B/A 82ND STREET DENTAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "NEMAN",
        "authorized_official_first_name": "HOOMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-225-7645",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "82nd Street Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tasheema Davis
• Amirjon Davlatov, DDS
• Juan Carlos De Fex, DDS
• Janice De Guia, DOULA
• Moraima A De la Cruz, D.D.S.
• Liliana M De la Hoz-Ayarza, P.T
• Katherine De la Hoz, LMSW

• 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 Feb 24, 2010; 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.