Ideal Dental Care

Primary specialty

DentistTaxonomy code 122300000X

License

047563 Issued in NY

Legal business name

IDEAL DENTAL CARE

Practice address

800 Northern Boulevard
Suite #6
Great Neck, NY 11021

Phone

(516) 487-6453

NPI assigned

Apr 5, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Panagiotis Glavas, DDS

Title

Owner

Phone

(516) 487-6453

Specialties & licenses 3

Addresses

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Ideal Dental Implants

  • Dental Clinic/Center
  • Mineola, NY
  • NPI 1144639857
  NPPES parent name

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

{
    "created_epoch": "1175731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1272585600000",
    "number": "1467574871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 NORTHERN BOULEVARD",
            "address_2": "SUITE #6",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-487-6453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 NORTHERN BOULEVARD",
            "address_2": "SUITE #6",
            "city": "GREAT NECK",
            "state": "NY",
            "postal_code": "11021",
            "telephone_number": "516-487-6453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IDEAL DENTAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-05",
        "last_updated": "2010-04-30",
        "status": "A",
        "authorized_official_last_name": "GLAVAS",
        "authorized_official_first_name": "PANAGIOTIS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-487-6453",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "047563",
            "primary": true
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "047563",
            "primary": false
        },
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "NY",
            "license": "047563",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sean T Hwang, M.D.
• Kevin M Hyman, MD
• Susan S Hyman, MD
• Hyoshim Pharmacy Inc
• Hyperbaric Medicine of Newyork,PC
• Kevin S Idelson, DDS
• Stephanie Idjadi
• Rose Obiageli Igbo-Awe, N.P-C
• Kathy Iger, NP
• Ihab Girgis, PHD, LCSW, PLLC

• Dentist in Great Neck, NY
• Providers in Great Neck, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.