MEDICARE: AP DENTAL CARE, PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	049084	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1033252317
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AP DENTAL CARE, PC

Provider Business Mailing Address
First Line	:	6610 YELLOWSTONE BLVD
Second Line	:	APT #4A
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2042
Country	:	US
Telephone Number	:	718-795-5297
Fax Number	:	718-263-2657

Provider Business Practice Location Address
First Line	:	6509 99TH ST
Second Line	:	SUITE D
City	:	REGO PARK
State	:	NY
Zip	:	11374-3570
Country	:	US
Telephone Number	:	718-263-2040
Fax Number	:	718-263-2657

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ALBINA POLT
Credential	:	DDS
Telephone Number	:	718-263-2040

Provider Enumeration Date	:	02/15/2007
Last Update Date	:	08/22/2020

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