OrganizationActive
104 Dental, PLLC
NPI 1104356476 · General Practice Dentistry · Corona, NY
104 Dental, PLLC is a General Practice Dentistry organization in Corona, NY (NPI 1104356476).
Provider details
- NPI number
- 1104356476
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Artin Sakhaee, Owner(718) 476-7801
- License
- 052701 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
10423 Roosevelt Avenue
Corona, NY 11368-2327
Phone: (718) 426-3000
Fax: (718) 426-3002
Street-level locationGet directions
Mailing address
10423 Roosevelt Avenue
Corona, NY 11368-2327
Registry dates
- Enumerated
- 2017-06-19
- Last updated
- 2022-07-21
Frequently asked questions
- What is 104 Dental, PLLC's NPI number?
- 104 Dental, PLLC's National Provider Identifier (NPI) is 1104356476, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is 104 Dental, PLLC?
- 104 Dental, PLLC is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is 104 Dental, PLLC located?
- 104 Dental, PLLC's practice location on file with NPPES is 10423 Roosevelt Avenue, Corona, NY 11368-2327.
- What is 104 Dental, PLLC's phone number?
- The practice phone number listed in the NPPES registry for 104 Dental, PLLC is (718) 426-3000.
- Who is the authorized official for 104 Dental, PLLC?
- The authorized official listed on 104 Dental, PLLC's NPPES record is Artin Sakhaee, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is 104 Dental, PLLC's NPI active?
- Yes — 104 Dental, PLLC's NPI (1104356476) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.