Park Dental Care, PC

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

044129-1 Issued in NY

Legal business name

PARK DENTAL CARE, PC

Practice address

9101 63Rd Dr
Rego Park, NY 11374-3849

Phone

(718) 565-5445

Fax

(718) 565-0952

NPI assigned

Oct 19, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Oleg P Klempner, D.D.SNPI 1033393525

Title

President

Phone

(718) 565-5445

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

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

• Oleg Klempner, D.D.S.

  • General Practice Dentistry
  • New York, NY
  • NPI 1033393525
  NPD (past) Authorized official

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1841289170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "718-565-5445",
            "fax_number": "718-565-0952"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 63RD DR",
            "city": "REGO PARK",
            "state": "NY",
            "postal_code": "113743849",
            "telephone_number": "718-565-5445",
            "fax_number": "718-565-0952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARK DENTAL CARE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KLEMPNER",
        "authorized_official_first_name": "OLEG",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-565-5445",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "NY",
            "license": "044129-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01380441",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jenis Parvezbhai Panjwani, RN
• Lichieh Pao, DPT
• Vanessa Michele Papavero
• Giovanna E Paredes, TEACHER
• Rachana Parekh, LMHC
• Park Terrace Care Center Inc
• David Young Park
• Sung Jin Park, PHARM.D
• Tony Chan Park, OD
• Oksana Parkhomovsky

• Dental Clinic/Center in Rego Park, NY
• Providers in Rego Park, 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 Aug 22, 2020; 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.