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104 Dental, Pllc

General Practice Dentistry in Corona, NY · enumerated 2017 · authorized official Artin Sakhaee, Owner.

Data current as of Jul 11, 2026 · sourced from CMS NPPES

National Provider Identifier

1104356476

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Registry record

Entity type Organization (Type 2)
Legal business name 104 Dental, Pllc
Practice address 10423 Roosevelt Avenue, Corona, NY, 11368
Fax (718) 426-3002
Enumeration date Jun 19, 2017
Last updated in NPPES Jul 21, 2022

Taxonomy & classification

1223G0001X General Practice Dentistry Dental Providers · License 052701 (NY) Primary

Authorized official

Name Artin Sakhaee
Title Owner

Other identifiers

Identifier Type State Issuer
052701 Medicaid NY

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty.

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Frequently asked questions

Where is 104 Dental, Pllc located?
The practice location on file with NPPES is in Corona, NY.
How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-07-21. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2022-07-21.