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NPI · 1104356476 · NPPES-sourced

104 Dental, PLLC

ActiveGeneral Practice Dentistry
NPI Number
1104356476
Type 2 · Organisation
Taxonomy Code
1223G0001X
Contact
(718) 426-3000
License NY · 052701
Last Updated
About 3 years ago (Jul 2022)
Enumerated 2017-06-19
Primary practice addressNY · 11368-2327
10423 Roosevelt AvenueCorona, NY 11368-2327
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About this NPIWhat this record shows.

NPI 1104356476 is registered to 104 Dental, PLLC, a healthcare organisation classified as "General Practice Dentistry" and located at 10423 Roosevelt Avenue in Corona, New York. The organisation's authorised official is Artin Sakhaee. The organisation has been enumerated in the NPI registry since 2017.

Provider type
Organisation (Type 2)
Status
Active
Enumerated
2017-06-19
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Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Medicaid

Source: NPPES public registry.

Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans 104 Dental, PLLC accepts. To confirm in-network status with your specific health plan, contact 104 Dental, PLLC directly at (718) 426-3000.

Frequently asked

Yes. NPI 1104356476 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

General Practice Dentistry is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (718) 426-3000.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. 104 Dental, PLLC is a Type-2 organisational NPI.

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Quick facts

Provider typeOrganisation
Taxonomy1223G0001X
Last updated2022-07
Enumerated2017-06-19
StatusActive
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