IndividualActive
Jason Li, DDS
NPI 1013391549 · General Practice Dentistry · Glendale, NY
Jason Li, DDS is a General Practice Dentistry provider in Glendale, NY (NPI 1013391549).
Provider details
- NPI number
- 1013391549
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 058540 (NY)
Practice location
6945 Myrtle Ave
Glendale, NY 11385-7265
Phone: (718) 821-4680
Street-level locationGet directions
Mailing address
155 Borden Ave Apt 21g
Long Island City, NY 11101-6238
Registry dates
- Enumerated
- 2015-07-14
- Last updated
- 2018-04-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.