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

Revaz Beridze, DDS

Individual provider General Practice Dentistry · NPI 1073642823

Revaz Beridze, DDS is a General Practice Dentistry in Forest Hills, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
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

10440 Queens Blvd #1Y
Forest Hills, NY 11375-3658
Phone: (718) 459-3159
Fax: (718) 459-3148
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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 046224-1 (NY)

Record details

NPI number1073642823
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedMarch 5, 2007
Last updated in NPPESJuly 8, 2007
Mailing address10440 Queens Blvd, 1y, Forest Hills, NY 11375-3658

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