Grace Dental Studio, LLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

052066 Issued in NY

Legal business name

GRACE DENTAL STUDIO, LLC

Practice address

6741 Myrtle Ave
Glendale, NY 11385-7063

Phone

(718) 578-1126

NPI assigned

May 19, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Grace Han, DDS

Title

Member

Phone

(718) 578-1126

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrew D. Kim, DDS

  • Dentist
  • Glendale, NY
  • NPI 1972709756
  NPD (past)

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211155200000",
    "number": "1497912372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6741 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6741 MYRTLE AVE",
            "city": "GLENDALE",
            "state": "NY",
            "postal_code": "113857063",
            "telephone_number": "718-578-1126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE DENTAL STUDIO, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-19",
        "last_updated": "2008-05-19",
        "status": "A",
        "authorized_official_last_name": "HAN",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-578-1126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "052066",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Glosson
• Frank Edward Golbig, M.A.
• Elizabeth Gomez, LMSW
• Armando Gong
• Lidia Recio Gonzalez
• Kristen Graue, COTA/L
• Green Apple Medical P.C.
• Saul Grullon, M.D.
• Zomely Grullon, LCAT-LP, MA
• Faustyna Grzybowska, FNP

• Dental Clinic/Center in Glendale, NY
• Providers in Glendale, 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 May 19, 2008; 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.