OrganizationActive
Boutique Dental
NPI 1285079962 · Dental Clinic/Center · Glendale, NY
Boutique Dental is a Dental Clinic/Center organization in Glendale, NY (NPI 1285079962).
Provider details
- NPI number
- 1285079962
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Yelena Mullakandova, Owner/Dentist(917) 640-1100
- License
- 055256 (NY)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
6835 Myrtle Ave
Glendale, NY 11385-7234
Phone: (718) 821-0170
Street-level locationGet directions
Mailing address
6835 Myrtle Ave
Glendale, NY 11385-7234
Other names (DBA / former)
- Other name
- Glendale Boutique Dental
Registry dates
- Enumerated
- 2013-05-07
- Last updated
- 2014-07-19
Frequently asked questions
- What is Boutique Dental's NPI number?
- Boutique Dental's National Provider Identifier (NPI) is 1285079962, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Boutique Dental?
- Boutique Dental is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Boutique Dental located?
- Boutique Dental's practice location on file with NPPES is 6835 Myrtle Ave, Glendale, NY 11385-7234.
- What is Boutique Dental's phone number?
- The practice phone number listed in the NPPES registry for Boutique Dental is (718) 821-0170.
- Who is the authorized official for Boutique Dental?
- The authorized official listed on Boutique Dental's NPPES record is Yelena Mullakandova, Owner/Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Boutique Dental's NPI active?
- Yes — Boutique Dental's NPI (1285079962) is active in the NPPES registry as of the last update on 2014-07-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.