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

Individual provider General Practice Dentistry · NPI 1598754947

Dr. Mohammed Mansoorul Imam, 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
2005
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

5611 94th St Ste # LN
Elmhurst, NY 11373-5080
Phone: (718) 271-4424
Fax: (718) 271-4799
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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 049149 (NY)

Record details

NPI number1598754947
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorYes
NPI enumeratedOctober 18, 2005
Last updated in NPPESNovember 12, 2010

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