Queens Family Dental Lic

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

037540 Issued in NY

Legal business name

QUEENS FAMILY DENTAL LIC

Practice address

2602 Ditmars Blvd
Astoria, NY 11105-3123

Phone

(718) 278-5700

Fax

(718) 278-5794

NPI assigned

May 25, 2011

Organization subpart

No

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

Authorized official

Name

Dr. William Eliades, DDS

Title

Owner

Phone

(718) 278-5700

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1306281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1306281600000",
    "number": "1902199870",
    "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 LIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-25",
        "last_updated": "2011-05-25",
        "status": "A",
        "authorized_official_last_name": "ELIADES",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "718-278-5700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "NY",
            "license": "037540",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00851547",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Queens Bronx Medical P.C
• Queens Cardiovascular Services PLLC
• Queens Community Medical Care, P.C.
• Queens Counseling Services LCSW, PLLC
• Queens Family Dental
• Queens Orthodontics
• Queenswest Medical, P.C.
• Hannah Quick
• Andrew James Quinn, M.D.
• Lisbeth Quinones

• General Practice Dentistry in Astoria, NY
• Providers in Astoria, NY by specialty
• General Practice Dentistry in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.