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

Charles J Mistretta, DDS

Individual provider General Practice Dentistry · NPI 1982789681

Charles J Mistretta, DDS is a Dentist in Staten Island, New York. Graduated from New York University College of Dentistry in 1975, 51 years ago. Practices as a sole proprietor. Licensed in New York.

Years since qualifying
51
Trained at
New York University College of Dentistry
Licensed in
NY
In the registry since
2006
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

1911 Richmond Ave Ste 215
Staten Island, NY 10314-3913
Phone: (718) 370-1911
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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 031340 (NY)

Record details

NPI number1982789681
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 25, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Medical schoolNEW YORK UNIVERSITY COLLEGE OF DENTISTRY
Graduated 1975 (51 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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