Organization
ATLAS PARK DENTAL, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA TURANSKY (OFFICE MANAGER)
(718) 894-2110
Entity
Organization
Contact information
Practice address
8028 COOPER AVE, BUILDING 6 SUITE 207, GLENDALE, NY 11385-7711
(718) 894-2110
Mailing address
8028 COOPER AVE, BUILDING 6 SUITE 207, GLENDALE, NY 11385-7711
(718) 894-2110
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
048889
NY
1223G0001X
General Practice Dentistry
054307
NY
1223G0001X
General Practice Dentistry
054485
NY
1223G0001X
General Practice Dentistry
055500
NY
1223P0221X
Pediatric Dentistry
049105
NY
1223P0300X
Periodontics
055514
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1215221874
NPI
NY
01
—
1639473929
NPI
NY
01
—
1689896300
NPI
NY
01
—
1710118948
NPI
NY
01
—
1811138233
NPI
NY
01
—
1891778957
NPI
NY
Enumeration date
10/20/2011
Last updated
10/20/2011
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