LS Dental PC

General Practice Dentistry · Woodside, NY

Organization Active NPI

NPI number 1609044023

Practice location

4705 44TH St Apt a2
Woodside, NY 11377-6301
Phone
(718) 752-9000
Fax
(718) 440-9460

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NPI record

NPI
1609044023
Entity type
Organization (Type 2)
Enumeration date
February 19, 2008
Last updated
February 19, 2008
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 048978-1 NY

Authorized official

Name
Dr. Leonid Shimanov
Title
Dentist
Phone
(718) 752-9000

Other names

  • ls dental pc

About LS Dental PC

LS Dental PC is a healthcare organization registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 4705 44TH St Apt a2, Woodside, NY 11377-6301. The NPI number 1609044023 was assigned on February 19, 2008 and the record was last updated on February 19, 2008.

LS Dental PC lists a license in the registry: #048978-1 (NY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Leonid Shimanov, Dentist.

Frequently asked questions

What is the NPI number of LS Dental PC?

The NPI number is 1609044023.

What is the phone number of LS Dental PC?

The phone number listed for the practice location is (718) 752-9000.

Where is LS Dental PC located?

4705 44TH St Apt a2, Woodside, NY 11377-6301.

What is the taxonomy code for LS Dental PC?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

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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