Into White Dental Arts, PLLC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

5067165 Issued in NY

Legal business name

INTO WHITE DENTAL ARTS, PLLC

Practice address

4743 Vernon Blvd
Ground Floor
Long Island City, NY 11101-5519

Phone

(718) 361-3050

NPI assigned

Dec 16, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Steven Konstantine Mantinaos, D.D.S.

Title

Owner/Dentist-Prosthodontist

Phone

(718) 361-3050

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1229385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320451200000",
    "number": "1790921062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4743 VERNON BLVD",
            "address_2": "GROUND FLOOR",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015519",
            "telephone_number": "718-361-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4743 VERNON BLVD",
            "address_2": "GROUND FLOOR",
            "city": "LONG ISLAND CITY",
            "state": "NY",
            "postal_code": "111015519",
            "telephone_number": "718-361-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTO WHITE DENTAL ARTS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-16",
        "last_updated": "2011-11-05",
        "status": "A",
        "authorized_official_last_name": "MANTINAOS",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "KONSTANTINE",
        "authorized_official_title_or_position": "OWNER/DENTIST-PROSTHODONTIST",
        "authorized_official_telephone_number": "718-361-3050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "5067165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dental Clinic/Center in Long Island City, NY
• Providers in Long Island City, NY by specialty
• Dental Clinic/Center in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2011; 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.