Healthcare Provider Details

I. General information

NPI: 1649197575
Provider Name (Legal Business Name): T & C FAMILY DENTISTRY PPLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2026
Last Update Date: 07/01/2026
Certification Date: 07/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8905 ELMHURST AVE
ELMHURST NY
11373-1524
US

IV. Provider business mailing address

8905 ELMHURST AVE
ELMHURST NY
11373-1524
US

V. Phone/Fax

Practice location:
  • Phone: 718-672-7700
  • Fax: 718-672-7702
Mailing address:
  • Phone: 718-672-7700
  • Fax: 718-672-7702

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number State

VIII. Authorized Official

Name: DR. CRISTIAN SECAREANU
Title or Position: CEO/DENTIST
Credential: DDS
Phone: 718-672-7700