Jacob A. Avner, DDS PC
Jacob A. Avner, DDS PC is a healthcare organization registered as General Practice Dentistry in Rego Park, NY, holding Type 2 (organization) NPI 1114398807 since 2015. The authorized official on file is Jacob Avner, Dentist/Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1114398807 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Jacob A. Avner, DDS PC |
| Other name | <Unavail> |
| Practice address | 9725 64TH AVE, UNIT: G-3, Rego Park, NY, 11374 |
| Phone | 7182757300 |
| Fax | 7182757307 |
| Enumeration date | 2015-10-07 |
| Last updated in NPPES | 2015-10-07 |
Authorized official
| Name | Jacob Avner |
|---|---|
| Title | Dentist/Owner |
| Phone | 7182757300 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 1223G0001X | General Practice Dentistry | Primary | 0496891 | NY |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02282222 | Medicaid | NY | — |
Copy-ready billing details
Provider: Jacob A. Avner, DDS PC NPI: 1114398807 Taxonomy: 1223G0001X (General Practice Dentistry) Address: 9725 64TH AVE, UNIT: G-3, Rego Park, NY, 11374
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1205267176 | Suri Meirov | Individual | Specialist | Rego Park, NY |
Verify this record
Cross-check NPI 1114398807 against the authoritative CMS record: view Jacob A. Avner, DDS PC on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Jacob A. Avner, DDS PC?
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2015-10-07.