Elida Dental Care PC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

048412 Issued in NY

Legal business name

ELIDA DENTAL CARE PC

Practice address

9442 59TH Ave
Elmhurst, NY 11373-5151

Phone

(917) 750-8221

Fax

(718) 699-1300

NPI assigned

Mar 14, 2016

Organization subpart

No

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

Authorized official

Name

David S Gavlin, DDSNPI 1194825018

Title

Dentist/Owner

Phone

(917) 750-8221

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• David S Gavlin, DDS

  • Dentist
  • Elmhurst, NY
  • NPI 1194825018
  NPD Authorized official
• Uta Rimkus, DMD

  • Dentist
  • Elmhurst, NY
  • NPI 1023250164
  NPD (past)

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

{
    "created_epoch": "1457913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626652800000",
    "number": "1679934970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9442 59TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735151",
            "telephone_number": "917-750-8221",
            "fax_number": "718-699-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9442 59TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735151",
            "telephone_number": "917-750-8221",
            "fax_number": "718-699-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIDA DENTAL CARE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-14",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A",
        "authorized_official_last_name": "GAVLIN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DENTIST/OWNER",
        "authorized_official_telephone_number": "917-750-8221",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "048412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cleo Isabella Egli, MD
• Leon K. Eisen, M.D.
• Ekaete Anietie Ekpenyong, PHYSICIAN ASSISTANT
• Levi Yitzhak Elhadad, M.D.
• Jesse Belle Elias, LCSW
• Elite Denal Care P.C.
• Elite Medical Ny, PC
• Belinda Ellis, N.P.,
• Scott Ryan Ellis, M.D.
• Elmhurst 88 LLC

• General Practice Dentistry in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; 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.