Organization
DAVID B. GOODMAN D.D.S. , STEPHEN A. FESTA D.D.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN ANTHONY FESTA D.D.S. (PARTNER)
(718) 429-6116
Entity
Organization
Contact information
Practice address
3755 76TH ST, JACKSON HEIGHTS, NY 11372-6507
(718) 429-6116
(718) 429-0843
Mailing address
3755 76TH ST, JACKSON HEIGHTS, NY 11372-6507
(718) 429-6116
(718) 429-0843
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
040213
NY
1223P0221X
Pediatric Dentistry
26422
NY
1223P0221X
Pediatric Dentistry
34936
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01233201
—
NY
Enumeration date
05/13/2007
Last updated
09/11/2025
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