# IDEAL DENTAL IMPLANTS

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** IDEAL DENTAL CARE
- **Other names:** IDI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1144639857
- **Legal business name:** IDEAL DENTAL CARE
- **Authorized official:** DR. PANAGIOTIS GLAVAS DDS (CEO)
- **Authorized official phone:** (516) 487-6453

## Contact information

- **Practice address:** 319 WILLIS AVE, MINEOLA, NY 11501-1510
- **Practice address phone:** (516) 487-6453
- **Mailing address:** 319 WILLIS AVE, MINEOLA, NY 11501-1510
- **Mailing address phone:** (516) 487-6453

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | 047563 | NY | Yes |

## Other

- **Enumeration date:** 08/06/2014
- **Last updated:** 08/13/2014