Hajira Husain Bidgoli, DMD
Individual provider Active NPI Pediatric Dentistry · Merrick, NY
NPI 1679769038 · NPPES record last updated Feb 28, 2022
Key facts
- NPI
- 1679769038
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Dentistry 1223P0221X
- License
- 052384 (NY)
- Practice address
- 2211 Merrick Rd
Merrick, NY 11566-4752 - Phone
- (516) 365-5439
- NPI assigned
- Sep 19, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 052384 | NY | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coniglio Dental PC | Pediatric Dentistry | Past | Accepting new patients |
| Kiddsmiles Pediatric Dentistry 4 PLLC | Pediatric Dentistry | Past |
Accepting new patients |
| Suffolk Pediatric Dentistry | Pediatric Dentistry | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Dentistry | 1223P0221X | 052384 | NY | Yes |
Addresses
Primary practice location
2211 Merrick Rd
Merrick, NY 11566-4752
Mailing address
10 Westedge St Unit 727
Charleston, SC 29403-6927
Phone (215) 370-1726
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02892120 | Medicaid | NY |
Other names
- Dr. Hajira Husain
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | www.Kiddsmiles.com |
Other providers in Merrick, NY
- Jaclyn Anne Benzoni
- Matthew Bernardez
- Senen Bernardo Jr.
- Regina Marie Bernie-Fauci
- Amanda Jill Bernstein
- Marlys Bido-Valdez
- Nicole Christine Bindler
- Kristin Lynn Birdie
- Scott Birdie
- Rona J Birnbaum
All providers in Merrick, NY · Pediatric Dentistry in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 28, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.