Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1 Davison Ave Dentistry PLLC

Organization General Practice Dentistry · NPI 1063386555

1 Davison Ave Dentistry PLLC is a General Practice Dentistry in Oceanside, New York. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1 Davison Ave W
Oceanside, NY 11572-2114
Phone: (646) 593-9305
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1063386555
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gavriel Gulamov — Owner · (646) 593-9305
Other names Elident
NPI enumeratedSeptember 30, 2025
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025
Mailing address1 Davison Ave W, Oceanside, NY 11572-2114

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