Prohealth Dental Pllc

NPI #1427515188 in Astoria, New York

Provider Information

NPI Number: 1427515188
Entity Type: Organization
Organization Name: Prohealth Dental Pllc
Subpart: Yes (part of a larger organization)
Parent Organization: PROHEALTH DENTAL PLLC
Primary Specialty: Dentist
Enumeration Date: Feb 28, 2019
Last Updated: Feb 21, 2023

Practice Location

Address: 2914 DITMARS BLVD
City: Astoria
State: New York
ZIP Code: 11105-2717
Phone: (718) 507-5438

Authorized Official

Name: NATALYA KOROBEYNYK
Title: RCM
Phone: (516) 654-4400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Pediatric Dentistry — Pediatric Dentistry	1223P0221X
Dentist - Periodontics — Periodontics	1223P0300X
Durable Medical Equipment & Medical Supplies	332B00000X
Dentist	122300000X	Primary

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