IndividualActive
Theodore Davantzis, DDS
NPI 1902991482 · General Practice Dentistry · Bayside, NY
Theodore Davantzis, DDS is a General Practice Dentistry provider in Bayside, NY (NPI 1902991482).
Provider details
- NPI number
- 1902991482
- Entity type
- Individual
- Primary specialty
- General Practice DentistryDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 39082 (NY)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
200-12 44th Avenue
Bayside, NY 11361
Phone: (718) 279-9700
Fax: (718) 279-0117
Street-level locationGet directions
Mailing address
200-12 44th Avenue
Bayside, NY 11361
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2007-07-08
Frequently asked questions
- What is Theodore Davantzis's NPI number?
- Theodore Davantzis's National Provider Identifier (NPI) is 1902991482, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theodore Davantzis's specialty?
- Theodore Davantzis is listed in the NPPES registry with a primary specialty of General Practice Dentistry (Dental Providers).
- Where is Theodore Davantzis located?
- Theodore Davantzis's practice location on file with NPPES is 200-12 44th Avenue, Bayside, NY 11361.
- What is Theodore Davantzis's phone number?
- The practice phone number listed in the NPPES registry for Theodore Davantzis is (718) 279-9700.
- Is Theodore Davantzis's NPI active?
- Yes — Theodore Davantzis's NPI (1902991482) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.