Active NPI
Hollywood Smile Dental
- Dentist
- Rego Park, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- Legal business name
- HOLLYWOOD SMILE DENTAL
- Practice address
- 9750 Queens Blvd Ste G2
Rego Park, NY 11374-3211 - Phone
- (718) 830-0110
- Fax
- (718) 532-0456
- NPI assigned
- Apr 20, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Yefim Khanimov, DDS
- Title
- Owner
- Phone
- (917) 604-6925
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | Primary |
Addresses
Primary practice location
9750 Queens Blvd Ste G2
Rego Park, NY 11374-3211
Mailing address
611 Bridge St
Woodmere, NY 11598-1509
Phone (917) 604-6925
Other practice location 1
282A Sunrise Hwy
Rockville Centre, NY 11570-4906
Phone (516) 442-2111
National Provider Directory
National Provider DirectoryLocations
9750 Queens Blvd
Ste G2
Rego Park, NY 11374
Phone (718) 830-0110
282A Sunrise Hwy
Rockville Centre, NY 11570
Phone (516) 442-2111
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- General Practice Dentistry
- Spring Valley, NY
- NPI 1710067129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1776643200000",
"number": "1891639746",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 BRIDGE ST",
"city": "WOODMERE",
"state": "NY",
"postal_code": "115981509",
"telephone_number": "917-604-6925",
"fax_number": "718-532-0456"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9750 QUEENS BLVD STE G2",
"city": "REGO PARK",
"state": "NY",
"postal_code": "113743211",
"telephone_number": "718-830-0110",
"fax_number": "718-532-0456"
}
],
"practiceLocations": [
{
"address_1": "282A Sunrise Hwy",
"address_purpose": "LOCATION",
"city": "Rockville Centre",
"state": "NY",
"postal_code": "115704906",
"country_code": "US",
"telephone_number": "516-442-2111",
"fax_number": "516-442-2112",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HOLLYWOOD SMILE DENTAL",
"organizational_subpart": "NO",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-19",
"status": "A",
"authorized_official_last_name": "KHANIMOV",
"authorized_official_first_name": "YEFIM",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "917-604-6925",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rego Park, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.