Provider Demographics
NPI:1659697951
Name:DOGRA, AMIT K (DMD)
Entity Type:Individual
Prefix:DR
First Name:AMIT
Middle Name:K
Last Name:DOGRA
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42-64 KISSENA BLVD.
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11355-3213
Mailing Address - Country:US
Mailing Address - Phone:718-445-0455
Mailing Address - Fax:718-445-0456
Practice Address - Street 1:42-64 KISSENA BLVD.
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-3213
Practice Address - Country:US
Practice Address - Phone:718-445-0455
Practice Address - Fax:718-445-0456
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-12
Last Update Date:2010-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0547591223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice