Organization Active NPI

Village Dentistry PLLC

  • Dentist
  • Forest Hills, NY
National Provider Identifier
1407685043
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
Legal business name
VILLAGE DENTISTRY PLLC
Practice address
11055 72ND Rd Ste L1
Forest Hills, NY 11375-5420
Phone
(718) 618-6294
Fax
(718) 263-0701
NPI assigned
Jul 31, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Authorized official

Name
Dr. Joel Preminger, DMDNPI 1003044850
Title
Member
Phone
(516) 481-1446

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
DentistGroup: 193200000X MULTI-SPECIALTY GROUP 122300000X Primary

Addresses

Primary practice location

11055 72ND Rd Ste L1
Forest Hills, NY 11375-5420

Mailing address

11055 72ND Rd Ste L1
Forest Hills, NY 11375-5420
Phone (718) 618-6294

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722384000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722384000000",
    "number": "1407685043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11055 72ND RD STE L1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755420",
            "telephone_number": "718-618-6294",
            "fax_number": "718-263-0701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11055 72ND RD STE L1",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113755420",
            "telephone_number": "718-618-6294",
            "fax_number": "718-263-0701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE DENTISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-31",
        "status": "A",
        "authorized_official_last_name": "PREMINGER",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "516-481-1446",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest Hills, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2024; 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.