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

104 Dental, PLLC

Organization General Practice Dentistry · NPI 1104356476

104 Dental, PLLC is a General Practice Dentistry in Corona, New York. Licensed in New York. Registered with an NPI since 2017.

Licensed in
NY
In the registry since
2017
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

10423 Roosevelt Ave
Corona, NY 11368-2327
Phone: (718) 426-3000
Fax: (718) 426-3002
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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 · Licence 052701 (NY)

Record details

NPI number1104356476
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Artin Sakhaee — Owner · (718) 476-7801
NPI enumeratedJune 19, 2017
Last updated in NPPESJuly 21, 2022
Mailing address10423 Roosevelt Avenue, Corona, NY 11368-2327

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