Smile House Dental P.C.

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SMILE HOUSE DENTAL P.C.

Practice address

3538 Junction Blvd
Corona, NY 11368-1775

Phone

(347) 831-7474

NPI assigned

Oct 9, 2024

Organization subpart

No

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

Authorized official

Name

Dr. Daniel Khodorkovsky, DMDNPI 1740801679

Title

President

Phone

(347) 566-0219

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel Khodorkovsky, DMD

  • Dentist
  • New York, NY
  • NPI 1740801679
  NPD Authorized official

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

{
    "created_epoch": "1728432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736985600000",
    "number": "1780403444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3538 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681775",
            "telephone_number": "347-831-7474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3538 JUNCTION BLVD",
            "city": "CORONA",
            "state": "NY",
            "postal_code": "113681775",
            "telephone_number": "347-831-7474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMILE HOUSE DENTAL P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-09",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A",
        "authorized_official_last_name": "KHODORKOVSKY",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "347-566-0219",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shander Singletary
• SJT Drug Corp (Corona Chemists)
• SLB Medical Associates
• Tanya Sleigh
• Smart Vision Care Inc.
• Smiley Faces Dentistry PC
• Diana Smith, OTR/L
• Heather Smith
• Richard Snyder, D.D.S.
• Solano Optical Co., Inc.

• Dentist in Corona, NY
• Providers in Corona, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; 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.