OrganizationActive
1 Davison Ave Dentistry PLLC
NPI 1063386555 · General Practice Dentistry · Oceanside, NY
1 Davison Ave Dentistry PLLC is a General Practice Dentistry organization in Oceanside, NY (NPI 1063386555).
Provider details
- NPI number
- 1063386555
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Gavriel Gulamov, Owner(646) 593-9305
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
1 Davison Ave W
Oceanside, NY 11572-2114
Phone: (646) 593-9305
Street-level locationGet directions
Mailing address
1 Davison Ave W
Oceanside, NY 11572-2114
Other names (DBA / former)
- Doing business as
- Elident
Registry dates
- Enumerated
- 2025-09-30
- Last updated
- 2025-10-09
- Certified
- 2025-10-09
Frequently asked questions
- What is 1 Davison Ave Dentistry PLLC's NPI number?
- 1 Davison Ave Dentistry PLLC's National Provider Identifier (NPI) is 1063386555, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 1 Davison Ave Dentistry PLLC?
- 1 Davison Ave Dentistry PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 1 Davison Ave Dentistry PLLC located?
- 1 Davison Ave Dentistry PLLC's practice location on file with NPPES is 1 Davison Ave W, Oceanside, NY 11572-2114.
- What is 1 Davison Ave Dentistry PLLC's phone number?
- The practice phone number listed in the NPPES registry for 1 Davison Ave Dentistry PLLC is (646) 593-9305.
- Who is the authorized official for 1 Davison Ave Dentistry PLLC?
- The authorized official listed on 1 Davison Ave Dentistry PLLC's NPPES record is Gavriel Gulamov, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 1 Davison Ave Dentistry PLLC's NPI active?
- Yes — 1 Davison Ave Dentistry PLLC's NPI (1063386555) is active in the NPPES registry as of the last update on 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.