Provider Demographics
NPI:1730849332
Name:888 DENTAL P.C.
Entity type:Organization
Organization Name:888 DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ROMAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ARONOV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:917-513-6431
Mailing Address - Street 1:11714 85TH AVE APT B1
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HILL
Mailing Address - State:NY
Mailing Address - Zip Code:11418-1816
Mailing Address - Country:US
Mailing Address - Phone:917-513-6431
Mailing Address - Fax:
Practice Address - Street 1:13614 NORTHERN BLVD STE A
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-6511
Practice Address - Country:US
Practice Address - Phone:718-445-7030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-22
Last Update Date:2021-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental