V.T. Dental PLLC

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

041326 Issued in NY

Legal business name

V.T. DENTAL PLLC

Practice address

4237 Hampton St Ofc 1P
Elmhurst, NY 11373-2663

Phone

(171) 865-1868

Fax

(718) 533-0669

NPI assigned

Apr 2, 2007

Last updated

May 19, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Victoria C. Teran, DDSNPI 1437567138

Title

Dentist

Phone

(718) 651-8686

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.

• Victoria C. Teran

  • General Practice Dentistry
  • Elmhurst, NY
  • NPI 1437567138
  NPD (past) Authorized official

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400457600000",
    "number": "1811017718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4237 HAMPTON ST OFC 1P",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732663",
            "telephone_number": "171-865-1868",
            "fax_number": "718-533-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4237 HAMPTON ST OFC 1P",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113732663",
            "telephone_number": "171-865-1868",
            "fax_number": "718-533-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "V.T. DENTAL PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2014-05-19",
        "status": "A",
        "authorized_official_last_name": "TERAN",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "DENTIST",
        "authorized_official_telephone_number": "17186518686",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "041326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2014; 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.