Provider Demographics
NPI:1457241655
Name:DENTAL IMPLANTS & COSMETICS OF REGO PARK & FOREST HILLS PC
Entity type:Organization
Organization Name:DENTAL IMPLANTS & COSMETICS OF REGO PARK & FOREST HILLS PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DENTIST / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DANNY
Authorized Official - Middle Name:
Authorized Official - Last Name:BENJAMIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-744-6196
Mailing Address - Street 1:7050 AUSTIN ST.
Mailing Address - Street 2:SUILE LL124A
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375
Mailing Address - Country:US
Mailing Address - Phone:718-275-9800
Mailing Address - Fax:718-275-9800
Practice Address - Street 1:9836 QUEENS BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4257
Practice Address - Country:US
Practice Address - Phone:646-637-6997
Practice Address - Fax:718-275-9805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-08
Last Update Date:2025-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1740612597OtherDDS PROVIDER