Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
VIDA DENTAL SPA INC
Active
Organization
VIDA DENTAL SPA INC
Active
Other names
Vida Dental Spa
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIA TERESA IOANNOU DDS (OWNER)
(917) 842-9807
Entity
Organization
Contact information
Practice address
1101 154TH ST, WHITESTONE, NY 11357-1954
(718) 559-6090
(718) 504-7500
Mailing address
1101 154TH ST, WHITESTONE, NY 11357-1954
(718) 559-6090
(718) 504-7500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
050794
NY
Other
Enumeration date
02/10/2017
Last updated
02/10/2017
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up