Provider Demographics
NPI:1679390751
Name:FINE ART DENTAL OF FLUSHING PLLC
Entity type:Organization
Organization Name:FINE ART DENTAL OF FLUSHING PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EMPLOYER
Authorized Official - Prefix:DR
Authorized Official - First Name:SONGMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-967-7868
Mailing Address - Street 1:4103 LEXINGTON RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02421-8311
Mailing Address - Country:US
Mailing Address - Phone:585-967-7868
Mailing Address - Fax:
Practice Address - Street 1:13511 40TH RD STE 4E
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-5327
Practice Address - Country:US
Practice Address - Phone:718-359-4433
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-20
Last Update Date:2024-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental