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

Ideal Smile Dental, PC

Organization General Practice Dentistry · NPI 1548685357

Ideal Smile Dental, PC is a General Practice Dentistry in Elmhurst, New York. Licensed in New York. Registered with an NPI since 2014.

Licensed in
NY
In the registry since
2014
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

9123 Queens Blvd # B
Elmhurst, NY 11373-5531
Phone: (718) 205-2055
Fax: (718) 205-2355
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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 050616 (NY)

Record details

NPI number1548685357
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Yuri Reshetnikov — Owner · (718) 205-2055
NPI enumeratedMarch 3, 2014
Last updated in NPPESMarch 7, 2023
Mailing addressPo Box 740059, Rego Park, NY 11374-0059

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