Eten Dental PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

ETEN DENTAL PLLC

Doing business as

Eten Dental

Practice address

21814 Northern Blvd Ste 104
Bayside, NY 11361-3580

Phone

(184) 231-0107

Fax

(718) 423-1011

NPI assigned

Jul 14, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Eju Hwang, DDS

Title

Owner

Phone

(718) 423-1010

Specialties & licenses 1

Addresses

Other names 1

• Eten Dental Doing business as

Locations

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

{
    "created_epoch": "1626220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628812800000",
    "number": "1457923872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 WINTHROP DR",
            "city": "WOODBURY",
            "state": "NY",
            "postal_code": "117971315",
            "telephone_number": "516-584-6528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21814 NORTHERN BLVD STE 104",
            "city": "BAYSIDE",
            "state": "NY",
            "postal_code": "113613580",
            "telephone_number": "184-231-0107",
            "fax_number": "718-423-1011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ETEN DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-07-14",
        "last_updated": "2021-08-13",
        "certification_date": "2021-08-13",
        "status": "A",
        "authorized_official_last_name": "HWANG",
        "authorized_official_first_name": "EJU",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-423-1010",
        "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": "Eten Dental",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Eten Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Dental Clinic/Center in Bayside, NY
• Providers in Bayside, 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 Aug 13, 2021; 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.