S T Dental Service PC

Primary specialty

DentistTaxonomy code 122300000X

License

049077 Issued in NY

Legal business name

S T DENTAL SERVICE PC

Practice address

1908 Mott Ave
Far Rockaway, NY 11691-4101

Phone

(718) 327-8816

Fax

(718) 327-5197

NPI assigned

Mar 31, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Svetlana Terentieva, DDS

Title

President

Phone

(718) 327-3816

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

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

• Lana Terens, DDS

  • Dentist
  • Far Rock Away, NY
  • NPI 1912968637
  NPD (past)

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

{
    "created_epoch": "1143763200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679534119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1908 MOTT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914101",
            "telephone_number": "718-327-8816",
            "fax_number": "718-327-5197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1908 MOTT AVE",
            "city": "FAR ROCKAWAY",
            "state": "NY",
            "postal_code": "116914101",
            "telephone_number": "718-327-8816",
            "fax_number": "718-327-5197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "S T DENTAL SERVICE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TERENTIEVA",
        "authorized_official_first_name": "SVETLANA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-327-3816",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": "NY",
            "license": "049077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02110098",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DORAL",
            "identifier": "9176812",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laya Russell
• Daniel Russo, RPH, PHARMD
• Russo'S Pharmacy Inc
• Batsheva Ruzohorsky, R.N.
• S Madhusoodanan MD PC
• Terry Sabri
• Elaine M Sacks, MA IN EDUCATION
• Gerald E Sacks
• Leydi R Saenz
• Safari Dehaney LLC

• Dentist in Far Rockaway, NY
• Providers in Far Rockaway, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.