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NPI 1063386555

OrganizationActive

1 Davison Ave Dentistry PLLC

NPI 1063386555 · General Practice Dentistry · Oceanside, NY

Provider details

NPI number: 1063386555
Entity type: Organization
Primary specialty: General Practice DentistryDental Providers
Authorized official: Gavriel Gulamov, Owner

Practice location

1 Davison Ave W

Oceanside, NY 11572-2114

Phone: (646) 593-9305

More NY providers

Mailing address

1 Davison Ave W

Oceanside, NY 11572-2114

Registry dates

Enumerated: 2025-09-30
Last updated: 2025-10-09

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

1 Davison Ave Dentistry PLLC — NPI 1063386555, Oceanside, NY | NPI Central