Provider Demographics
NPI:1720889264
Name:31ST ST ASTORIA DENTAL, P.C
Entity type:Organization
Organization Name:31ST ST ASTORIA DENTAL, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST(OWNER)
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:M
Authorized Official - Last Name:TAHA LEL KADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:347-560-4506
Mailing Address - Street 1:31-72 31ST ST
Mailing Address - Street 2:31-72 31ST ST
Mailing Address - City:ASTORIA
Mailing Address - State:NY
Mailing Address - Zip Code:11106
Mailing Address - Country:US
Mailing Address - Phone:547-560-4506
Mailing Address - Fax:
Practice Address - Street 1:31-72 31ST ST
Practice Address - Street 2:31-72 31ST ST
Practice Address - City:ASTORIA
Practice Address - State:NY
Practice Address - Zip Code:11106
Practice Address - Country:US
Practice Address - Phone:547-560-4506
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty