Amirjon Davlatov, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

062592 Issued in NY

Practice address

3753 91St St
Jackson Heights, NY 11372-7901

Phone

(718) 205-4377

NPI assigned

Apr 3, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Davlatov Dental P.C.

  • General Practice Dentistry
  • Brooklyn, NY
  • NPI 1740146620
  NPD Authorized official
• Maria D. Herrera Dentistry, P.C.

  • General Practice Dentistry
  • Jackson Heights, NY
  • NPI 1922200633
  NPD (past)

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

{
    "created_epoch": "1617408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694044800000",
    "number": "1902485485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 BAY 22ND ST FL 2",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112143806",
            "telephone_number": "347-816-0954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3753 91ST ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113727901",
            "telephone_number": "718-205-4377"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVLATOV",
        "first_name": "AMIRJON",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-03",
        "last_updated": "2023-09-07",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "FL",
            "license": "DN26696",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NY",
            "license": "062592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B. Goodman D.D.S. , Stephen a. Festa D.D.D.
• David Szuster Psychiatry P.C.
• David Tenembaum MD PC
• Darwin Davis, OTR/L
• Tasheema Davis
• Dazzling Smile of Astoria D/B/a 82ND Street Dental (82nd Street Dental)
• Juan Carlos De Fex, DDS
• Janice De Guia, DOULA
• Moraima A De la Cruz, D.D.S.
• Liliana M De la Hoz-Ayarza, P.T

• Dentist in Jackson Heights, NY
• Providers in Jackson Heights, NY by specialty
• Dentist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2023; 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.