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

Elmhurst Orthodontics, PC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1528402112

Elmhurst Orthodontics, PC is an Orthodontics and Dentofacial Orthopedics Dentistry in Elmhurst, New York. Licensed in New York. Registered with an NPI since 2013.

Licensed in
NY
In the registry since
2013
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

79-11 41st Ave Unit A107
Elmhurst, NY 11373-1258
Phone: (718) 205-2888
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 055373 (NY)

Record details

NPI number1528402112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ariel Bales-Kogan — Orthodontist · (617) 319-4180
NPI enumeratedApril 25, 2013
Last updated in NPPESApril 25, 2013
Mailing address79-11 41st Ave, Unit A107, Elmhurst, NY 11373-1258

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