OrganizationActive
Roosevelt 26 Dental Group PLLC
NPI 1407319239 · Orthodontics and Dentofacial Orthopedics Dentistry · Corona, NY
Provider details
- NPI number
- 1407319239
- Entity type
- Organization
- Primary specialty
- Orthodontics and Dentofacial Orthopedics DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Faramarz Khalili, Owner(516) 382-8000
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(66/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
10308 Roosevelt Ave
Corona, NY 11368-2330
Phone: (917) 391-8000
Street-level locationGet directions
Mailing address
10308 Roosevelt Ave
Corona, NY 11368-2330
Registry dates
- Enumerated
- 2019-04-09
- Last updated
- 2019-04-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.