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

Individual provider General Practice Dentistry · NPI 1073526505

Dr. Ismael Bastida, DDS is a General Practice Dentistry in Elmhurst, New York. Practices as a sole proprietor. Licensed in New York.

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

4014 82nd St
Elmhurst, NY 11373-1305
Phone: (718) 397-7777
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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 052687 (NY)

Record details

NPI number1073526505
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 14, 2006
Last updated in NPPESApril 14, 2015
Mailing address4014 82nd St, Elmhurst, NY 11373-1305

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