# JAMAICA SMILE DESIGN DENTAL P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1588949515
- **Authorized official:** TATYANA YAPPORT DDS (PRESIDENT)
- **Authorized official phone:** (718) 291-6871

## Contact information

- **Practice address:** 8835 164TH ST, JAMAICA, NY 11432-4056
- **Practice address phone:** (718) 291-6871
- **Practice address fax:** (718) 291-7362
- **Mailing address:** 8835 164TH ST, JAMAICA, NY 11432-4056
- **Mailing address phone:** (718) 291-6871
- **Mailing address fax:** (718) 291-7362

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QD0000X | Dental Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/21/2011
- **Last updated:** 10/21/2011
