OrganizationActive
2791 Richmond LLC
NPI 1003391186 · General Practice Dentistry · Staten Island, NY
2791 Richmond LLC is a General Practice Dentistry organization in Staten Island, NY (NPI 1003391186).
Provider details
- NPI number
- 1003391186
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Toni Lynn Egan, Credentialing Department(718) 979-2121
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2791 Richmond Avenue, Suite 2
Staten Island, NY 10314
Phone: (718) 400-9002
Street-level locationGet directions
Mailing address
2791 Richmond Ave Ste 2
Staten Island, NY 10314-5859
Other names (DBA / former)
- Doing business as
- Oakwood Dental Arts By the Mall
Registry dates
- Enumerated
- 2018-09-25
- Last updated
- 2018-09-25
Frequently asked questions
- What is 2791 Richmond LLC's NPI number?
- 2791 Richmond LLC's National Provider Identifier (NPI) is 1003391186, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 2791 Richmond LLC?
- 2791 Richmond LLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 2791 Richmond LLC located?
- 2791 Richmond LLC's practice location on file with NPPES is 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314.
- What is 2791 Richmond LLC's phone number?
- The practice phone number listed in the NPPES registry for 2791 Richmond LLC is (718) 400-9002.
- Who is the authorized official for 2791 Richmond LLC?
- The authorized official listed on 2791 Richmond LLC's NPPES record is Toni Lynn Egan, Credentialing Department. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 2791 Richmond LLC's NPI active?
- Yes — 2791 Richmond LLC's NPI (1003391186) is active in the NPPES registry as of the last update on 2018-09-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.