Active NPI
Queens Family Dental
- General Practice Dentistry
- Astoria, NY
National Provider Identifier
1871743757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 37540
- Legal business name
- QUEENS FAMILY DENTAL
- Practice address
- 2602 Ditmars Blvd
Astoria, NY 11105-3123 - Phone
- (718) 278-5700
- Fax
- (718) 278-5794
- NPI assigned
- Sep 26, 2008
- Last updated
- Sep 26, 2008
- Organization subpart
- Yes
- Parent organization
- QUEENS FAMILY DENTAL
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. William George Eliades, DDS
- Title
- Dentist Owner
- Phone
- (718) 278-5700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 37540 | NY | Primary |
Addresses
Primary practice location
2602 Ditmars Blvd
Astoria, NY 11105-3123
Mailing address
2602 Ditmars Blvd
Astoria, NY 11105-3123
Phone (718) 278-5700
National Provider Directory
National Provider Directory- Tax ID family
- Queens Family Dental
- Part of
- Queens Family Dental
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Dentistry
- Flushing, NY
- NPI 1629263470
Locations
2602 Ditmars Blvd
Astoria, NY 11105
Phone (718) 278-5700
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Practice Dentistry
- Flushing, NY
- NPI 1629263470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222387200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1222387200000",
"number": "1871743757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2602 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053123",
"telephone_number": "718-278-5700",
"fax_number": "718-278-5794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2602 DITMARS BLVD",
"city": "ASTORIA",
"state": "NY",
"postal_code": "111053123",
"telephone_number": "718-278-5700",
"fax_number": "718-278-5794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUEENS FAMILY DENTAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "QUEENS FAMILY DENTAL",
"enumeration_date": "2008-09-26",
"last_updated": "2008-09-26",
"status": "A",
"authorized_official_last_name": "ELIADES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "GEORGE",
"authorized_official_title_or_position": "DENTIST OWNER",
"authorized_official_telephone_number": "718-278-5700",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "37540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, NY
- Queens Audiology, PLLC
- Queens Bronx Medical P.C
- Queens Cardiovascular Services PLLC
- Queens Community Medical Care, P.C. (The New Parkway Hospital Physicians Group)
- Queens Counseling Services LCSW, PLLC (Queens Counseling Services, PLLC)
- Queens Family Dental Lic
- Queens Orthodontics
- Queenswest Medical, P.C.
- Hannah Quick
- Andrew James Quinn, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.