DR. I DENTAL PC – NPI #1053819318
Clinic/Center

DR. I DENTAL PC is an AHC clinic located in ELMHURST, NY. NPPES has assigned the NPI number 1053819318 to DR. I DENTAL PC on January 31, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DR. I DENTAL PC below.

NPI Profile for
DR. I DENTAL PC

NPI Number
1053819318
Enumeration Date

(more than 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DR. I DENTAL PC
Primary location
8610 GRAND AVE
1B
ELMHURST, NY 11373
Phone: (631) 517-8166 Fax: (631) 517-8166
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EMMANUIL ILYAYEV
DENTIST
Phone: (631) 517-8166
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 NY 058141

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.