Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

5B105Strdentalpc

Organization Dentist · NPI 1306052618

5B105Strdentalpc provides Dentist services in Rockaway Park, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007

Practice location Address checks out

5 Beach 105th St
Rockaway Park, NY 11694-2699
Phone: (718) 474-0007
Fax: (718) 474-0004
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 046206-1 (NY)

Record details

NPI number1306052618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joanna Kowalewski — Dentist · (718) 474-0007
NPI enumeratedMay 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address5 Beach 105th St, Rockaway Park, NY 11694-2699

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