Suzanne Dental P.C.

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

054068-1 Issued in NY

Legal business name

SUZANNE DENTAL P.C.

Practice address

10525 63Rd Dr
Forest Hills, NY 11375-1601

Phone

(347) 885-4796

NPI assigned

Feb 6, 2010

Organization subpart

No

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

Authorized official

Name

Syuzanna Ismailova-Aronov, DDS

Title

President

Phone

(347) 885-4796

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1265414400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1265414400000",
    "number": "1497087019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10525 63RD DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751601",
            "telephone_number": "347-885-4796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10525 63RD DR",
            "city": "FOREST HILLS",
            "state": "NY",
            "postal_code": "113751601",
            "telephone_number": "347-885-4796"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUZANNE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-06",
        "last_updated": "2010-02-06",
        "status": "A",
        "authorized_official_last_name": "ISMAILOVA-ARONOV",
        "authorized_official_first_name": "SYUZANNA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-885-4796",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "054068-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Forest Hills, NY
• Providers in Forest Hills, 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 Feb 6, 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.