Provider Demographics
NPI:1902601719
Name:INESSA MURDAKHAYEVA DENTAL P.C.
Entity type:Organization
Organization Name:INESSA MURDAKHAYEVA DENTAL P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:INESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURDAKHAYEVA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-226-9160
Mailing Address - Street 1:75 HOWE CT
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1310
Mailing Address - Country:US
Mailing Address - Phone:646-299-2423
Mailing Address - Fax:
Practice Address - Street 1:1455 BROADWAY
Practice Address - Street 2:
Practice Address - City:HEWLETT
Practice Address - State:NY
Practice Address - Zip Code:11557-1426
Practice Address - Country:US
Practice Address - Phone:516-226-9160
Practice Address - Fax:516-226-9162
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-17
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty