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

Boutique Dental

Organization Dental Clinic/Center · NPI 1285079962

Boutique Dental is a Dental Clinic/Center in Glendale, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013

Practice location Address checks out

6835 Myrtle Ave
Glendale, NY 11385-7234
Phone: (718) 821-0170
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X · Licence 055256 (NY)

Record details

NPI number1285079962
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yelena Mullakandova — Owner/Dentist · (917) 640-1100
Other names Glendale Boutique Dental
NPI enumeratedMay 7, 2013
Last updated in NPPESJuly 19, 2014
Mailing address6835 Myrtle Ave, Glendale, NY 11385-7234

Other providers in Glendale