# AUSTIN FAMILY DENTAL PLLC

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

## Provider details

- **NPI number:** 1649054149
- **Authorized official:** DR. YESSENIA ANABEL AUSTIN DDS (OWNER / GENERAL DENTIST)
- **Authorized official phone:** (347) 604-0563

## Contact information

- **Practice address:** 3745 89TH ST BSMT LEVEL, JACKSON HEIGHTS, NY 11372-7843
- **Practice address phone:** (347) 639-0040
- **Mailing address:** 6018 24TH AVE UNIT 3, BROOKLYN, NY 11204-2627
- **Mailing address phone:** (347) 604-0563

## Taxonomy

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

## Other

- **Enumeration date:** 08/24/2023
- **Last updated:** 08/24/2023