Queens Dental Smile P.C

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

QUEENS DENTAL SMILE P.C

Practice address

25517 Northern Blvd Ste A1
Little Neck, NY 11362-1453

Phone

(718) 255-3700

NPI assigned

Nov 13, 2024

Organization subpart

No

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

Authorized official

Name

Sarha Avendano, DDSNPI 1659939163

Title

President

Phone

(917) 325-0149

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.

• Sarha Avendano, DDS

  • General Practice Dentistry
  • Flushing, NY
  • NPI 1659939163
  NPD Authorized official

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

{
    "created_epoch": "1731456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731456000000",
    "number": "1720802952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25517 NORTHERN BLVD STE A1",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621453",
            "telephone_number": "718-255-3700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25517 NORTHERN BLVD STE A1",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113621453",
            "telephone_number": "718-255-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS DENTAL SMILE P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A",
        "authorized_official_last_name": "AVENDANO",
        "authorized_official_first_name": "SARHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "917-325-0149",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Giuseppe Maurizio Prainito, PHARMD
• Haralabos Prassakos
• Lisa Christine Pulkoski, LMSW
• Bernadette Pupilla, DPM
• Andrew Francis Pyo, L.AC
• Queens Neuropsychological and Behavioral Services
• Queens Neuropsychological Services PLLC
• Marivic Quiambao, MA
• Alex Reinharz
• Patricia Rella, LCSW

• General Practice Dentistry in Little Neck, NY
• Providers in Little Neck, 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 Nov 13, 2024; 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.