Organization Active NPI

Da&JP Denistry PLLC

  • Dental Clinic/Center
  • Roslyn, NY
National Provider Identifier
1477431237
Registry record updated Aug 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
DA&JP DENISTRY PLLC
Practice address
1044 Northern Blvd
Roslyn, NY 11576-1514
Phone
(516) 466-1177
NPI assigned
Aug 21, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2025

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

Authorized official

Name
Jacob Jonathan Pleshty, DDSNPI 1144865189
Title
Co-Owner
Phone
(347) 865-4456

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
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

1044 Northern Blvd
Roslyn, NY 11576-1514

Mailing address

10858 66TH Ave
Forest Hills, NY 11375-2242

Other names 1

  • Iconic Smiles of Roslyn Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1755734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755734400000",
    "number": "1477431237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10858 66TH AVE",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113752242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1044 NORTHERN BLVD",
            "city": "ROSLYN",
            "state": "NY",
            "postal_code": "115761514",
            "telephone_number": "516-466-1177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DA&JP DENISTRY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-21",
        "last_updated": "2025-08-21",
        "certification_date": "2025-08-21",
        "status": "A",
        "authorized_official_last_name": "PLESHTY",
        "authorized_official_first_name": "JACOB",
        "authorized_official_middle_name": "JONATHAN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "347-865-4456",
        "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": "Iconic Smiles of Roslyn",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Roslyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.