Healthcare Provider Details

I. General information

NPI: 1639587157
Provider Name (Legal Business Name): PAUL SPRINGS DMD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2014
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6836 108TH ST #B10
FOREST HILLS NY
11375
US

IV. Provider business mailing address

6836 108TH ST #B10
FOREST HILLS NY
11375
US

V. Phone/Fax

Practice location:
  • Phone: 718-268-1561
  • Fax: 718-268-1577
Mailing address:
  • Phone: 718-268-1561
  • Fax: 718-268-1577

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License Number50 057399
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: