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

Clove Lakes Family Dental PLLC

Organization Dental Clinic/Center · NPI 1639619208

Clove Lakes Family Dental PLLC is a Dental Clinic/Center in Staten Island, New York. Registered with an NPI since 2017.

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

1140 Victory Blvd Ste 1
Staten Island, NY 10301-3673
Phone: (718) 255-8995
Show map & directions

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

Specialties & licences

Dental Clinic/Center (primary) Taxonomy 261QD0000X

Record details

NPI number1639619208
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Emanuel Graziano — Partner · (718) 873-4889
Other names Oakwood Dental Arts Of Clove Lakes
NPI enumeratedMarch 2, 2017
Last updated in NPPESMarch 2, 2017
Mailing address1140 Victory Blvd, Suite 1, Staten Island, NY 10301-3673

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