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

Orthodontics at Jackson Heights Smiles, PLLC

Organization Orthodontics and Dentofacial Orthopedics Dentistry · NPI 1083033773

Orthodontics at Jackson Heights Smiles, PLLC is an Orthodontics and Dentofacial Orthopedics Dentistry in East 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?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

3062 79th St 2nd Fl
East Elmhurst, NY 11370-1510
Phone: (718) 426-9400
Fax: (718) 426-9497
Show map & directions

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

Specialties & licences

Orthodontics and Dentofacial Orthopedics Dentistry (primary) Taxonomy 1223X0400X · Licence 050711 (NY)

Record details

NPI number1083033773
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Saju Mathew — Owner · (631) 235-9007
NPI enumeratedApril 10, 2014
Last updated in NPPESMay 29, 2014
Mailing address210 W 70th St, Apt 1101, New York, NY 10023-4304

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