Woodhaven Dental Group, PLLC

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

051019 Issued in NY

Legal business name

WOODHAVEN DENTAL GROUP, PLLC

Practice address

8708 Woodhaven Blvd
2ND Floor
Woodhaven, NY 11421-2284

Phone

(718) 850-5555

Fax

(718) 805-9000

NPI assigned

Sep 26, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Kuncio, DDS

Title

Member

Phone

(718) 850-5555

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1411689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1436227200000",
    "number": "1609278233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8708 WOODHAVEN BLVD",
            "address_2": "2ND FLOOR",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212284",
            "telephone_number": "718-850-5555",
            "fax_number": "718-805-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8708 WOODHAVEN BLVD",
            "address_2": "2ND FLOOR",
            "city": "WOODHAVEN",
            "state": "NY",
            "postal_code": "114212284",
            "telephone_number": "718-850-5555",
            "fax_number": "718-805-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODHAVEN DENTAL GROUP, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-26",
        "last_updated": "2015-07-07",
        "status": "A",
        "authorized_official_last_name": "KUNCIO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "718-850-5555",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "NY",
            "license": "051019",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Hygienist",
            "state": "NY",
            "license": "051019",
            "primary": false
        },
        {
            "code": "126800000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dental Assistant",
            "state": "NY",
            "license": "051019",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vanassa Wills
• Woodhaven Adult Daycare Inc.
• Woodhaven Chemist Corp.
• Woodhaven Chemist Corp.
• Woodhaven Dental Care, P.C.
• Woodhaven Medical Supply
• Woodhaven Medical, P.C.
• Woodhaven Optical Center
• Woodhaven Optometric Associates, P.C.
• Woodhaven Orthodontics, PLLC

• Pediatric Dentistry in Woodhaven, NY
• Providers in Woodhaven, NY by specialty
• Pediatric Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2015; 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.