Provider Demographics
NPI:1215005939
Name:PLESEA, ANA C (DDS)
Entity Type:Individual
Prefix:
First Name:ANA
Middle Name:C
Last Name:PLESEA
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:92-29 QUEENS BLVD
Mailing Address - Street 2:SUITE 2D
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-1072
Mailing Address - Country:US
Mailing Address - Phone:718-575-0769
Mailing Address - Fax:718-575-0769
Practice Address - Street 1:92-29 QUEENS BLVD
Practice Address - Street 2:SUITE 2D
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-1072
Practice Address - Country:US
Practice Address - Phone:718-575-0769
Practice Address - Fax:718-575-0769
Is Sole Proprietor?:No
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0340251223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice