Provider Demographics
NPI:1417745522
Name:AHUJA DENTAL LONG ISLAND PC
Entity type:Organization
Organization Name:AHUJA DENTAL LONG ISLAND PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:TARAN
Authorized Official - Middle Name:KAUR
Authorized Official - Last Name:REYNOLDS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:202-251-0408
Mailing Address - Street 1:601 FRANKLIN AVE STE 211
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5760
Mailing Address - Country:US
Mailing Address - Phone:516-739-1851
Mailing Address - Fax:
Practice Address - Street 1:601 FRANKLIN AVE STE 211
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5760
Practice Address - Country:US
Practice Address - Phone:516-739-1851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty