# LADINO DENTAL PLLC

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** 103 Dental
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962177550
- **Authorized official:** DR. JOSE LADINO DDS (DENTIST)
- **Authorized official phone:** (917) 854-5645

## Contact information

- **Practice address:** 3756 103RD ST BSMT, CORONA, NY 11368-5163
- **Practice address phone:** (917) 854-5645
- **Mailing address:** 3756 103RD ST BSMT, CORONA, NY 11368-5163
- **Mailing address phone:** (917) 854-5645

## Taxonomy

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

## Other

- **Enumeration date:** 08/16/2021
- **Last updated:** 08/16/2021