Provider Demographics
NPI:1730884305
Name:DENTAL SERVICES OF JACKSON HEIGHTS, N.Y., P.C
Entity type:Organization
Organization Name:DENTAL SERVICES OF JACKSON HEIGHTS, N.Y., P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FINANCES
Authorized Official - Prefix:
Authorized Official - First Name:HEIDY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROJAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-941-1541
Mailing Address - Street 1:8007 NORTHERN BLVD FL 1
Mailing Address - Street 2:
Mailing Address - City:JACKSON HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:11372-1344
Mailing Address - Country:US
Mailing Address - Phone:347-941-1541
Mailing Address - Fax:
Practice Address - Street 1:8007 NORTHERN BLVD FL 1
Practice Address - Street 2:
Practice Address - City:JACKSON HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:11372-1344
Practice Address - Country:US
Practice Address - Phone:347-941-1541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty