Provider Demographics
NPI:1164160495
Name:AVREKH ARIYEV DENTAL PC
Entity Type:Organization
Organization Name:AVREKH ARIYEV DENTAL PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AVREKH
Authorized Official - Middle Name:
Authorized Official - Last Name:ARIYEV
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:646-240-0638
Mailing Address - Street 1:8749 62ND RD
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-2731
Mailing Address - Country:US
Mailing Address - Phone:646-240-0638
Mailing Address - Fax:
Practice Address - Street 1:1 BARSTOW RD STE P4
Practice Address - Street 2:
Practice Address - City:GREAT NECK
Practice Address - State:NY
Practice Address - Zip Code:11021-3535
Practice Address - Country:US
Practice Address - Phone:646-240-0638
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-25
Last Update Date:2022-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty