Organization
HOLLIS ADVANCED DENTAL CARE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BENJAMIN V KATAYEV D.D.S. (PRESIDENT)
(718) 454-7418
Entity
Organization
Contact information
Practice address
19002 JAMAICA AVE, 2 FLOOR, HOLLIS, NY 11423-2516
(718) 454-7418
(718) 217-2657
Mailing address
19002 JAMAICA AVE, 2 FLOOR, HOLLIS, NY 11423-2516
(718) 454-7418
(718) 217-2657
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
NY
1223P0300X
Periodontics
—
NY
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011896900
—
NY
05
—
02587795
—
NY
Enumeration date
08/27/2008
Last updated
08/27/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us