MEDICARE: FOREST HILLS DENTAL ,P.C.

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	046175	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	:	1194741546
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FOREST HILLS DENTAL ,P.C.

Provider Business Mailing Address
First Line	:	10210 66TH RD
Second Line	:	SUITE 1D
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2047
Country	:	US
Telephone Number	:	718-275-9792
Fax Number	:	718-997-8362

Provider Business Practice Location Address
First Line	:	10210 66TH RD
Second Line	:	SUITE 1D
City	:	FOREST HILLS
State	:	NY
Zip	:	11375-2047
Country	:	US
Telephone Number	:	718-275-9792
Fax Number	:	718-997-8362

Authorized Official
Title or Position	:	OWNER
Name	:	GREGORY MARK
Credential	:	D.D.S.
Telephone Number	:	718-275-9792

Provider Enumeration Date	:	07/15/2006
Last Update Date	:	08/22/2020

Similar Medicare Providers

1154332310 — DR. GAVRIEL FUZAYLOV MD
Practice Location Address:

10210 66TH RD STE 1H
FOREST HILLS, NY
11375-2047

Practice Phone: 718-897-0327
Practice Fax: 844-965-9107

1477611655 — RAISA YEGER-ARBITMAN ,MD
Practice Location Address:

102-10 66TH RD , 1G
FOREST HILLS, NY
11375-2047

Practice Phone: 718-997-0658
Practice Fax: 718-275-5677

1114484839 — DANIEL SHIMUNOV DDS
Practice Location Address:

10210 66TH RD STE 1D
FOREST HILLS, NY
11375-2047

Practice Phone: 718-275-9792
Practice Fax:

1003455072 — J MEDICAL PRACTICE LLC
Practice Location Address:

668 N FOREST DR
TEANECK, NJ
07666-2047

Practice Phone: 201-564-4890
Practice Fax:

1174274856 — JONATHAN WIESEN MD PLLC
Practice Location Address:

668 N FOREST DR
TEANECK, NJ
07666-2047

Practice Phone: 201-564-4890
Practice Fax:

1821943804 — CAMINO CONNECTIONS THERAPY
Practice Location Address:

3569 GARDEN CT
CHINO HILLS, CA
91709-2047

Practice Phone: 760-807-4371
Practice Fax:

Directions to “FOREST HILLS DENTAL ,P.C. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.