Michael Samandarov, DDS

Dentist · Jackson Heights, NY

Individual Active NPI

NPI number 1114418977

Practice location

8411 Northern Blvd Fl 1
Jackson Heights, NY 11372-1531
Phone
(718) 424-7100

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NPI record

NPI
1114418977
Entity type
Individual (Type 1)
Enumeration date
May 28, 2018
Last updated
August 11, 2021
Certified
August 11, 2021
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 060753 NY

About Dr. Samandarov

Michael Samandarov, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 8411 Northern Blvd Fl 1, Jackson Heights, NY 11372-1531. The NPI number 1114418977 was assigned on May 28, 2018 and the record was last updated on August 11, 2021.

Dr. Samandarov lists a license in the registry: #060753 (NY) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Michael Samandarov, DDS?

The NPI number is 1114418977.

What is the phone number of Dr. Samandarov?

The phone number listed for the practice location is (718) 424-7100.

Where is Dr. Samandarov located?

8411 Northern Blvd Fl 1, Jackson Heights, NY 11372-1531.

What is the taxonomy code for Dr. Samandarov?

The primary taxonomy code is 122300000X – Dentist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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