Active NPI
My & Ep Dental Services PLLC
- General Practice Dentistry
- Flushing, NY
National Provider Identifier
1497449946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- MY & EP DENTAL SERVICES PLLC
- Practice address
- 4207 Utopia Pkwy
Flushing, NY 11358-2735 - Phone
- (718) 357-5545
- NPI assigned
- Jun 7, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Michael Yusupov, DDS
- Title
- Owner
- Phone
- (718) 357-5545
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
4207 Utopia Pkwy
Flushing, NY 11358-2735
Mailing address
4207 Utopia Pkwy
Flushing, NY 11358-2735
Phone (718) 357-5545
National Provider Directory
National Provider DirectoryLocations
4207 Utopia Pkwy
Flushing, NY 11358
Phone (718) 463-0990
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686096000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1686096000000",
"number": "1497449946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4207 UTOPIA PKWY",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113582735",
"telephone_number": "718-357-5545"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4207 UTOPIA PKWY",
"city": "FLUSHING",
"state": "NY",
"postal_code": "113582735",
"telephone_number": "718-357-5545"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MY & EP DENTAL SERVICES PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-06-07",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A",
"authorized_official_last_name": "YUSUPOV",
"authorized_official_first_name": "MICHAEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-357-5545",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flushing, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.