Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1902991482 Individual Practitioner Male Practitioner

Dr. Theodore Davantzis , DDS

Dentist - General Practice • Bayside, NY

Professional Overview & Biography Verified Profile Summary

Dr. Theodore Davantzis, DDS is a registered healthcare professional specializing in Dentist - General Practice in Bayside, NY. Practice services are available at 200-12 44TH AVENUE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

200-12 44th Avenue

Bayside, NY 11361

Telephone 7182799700
Fax 7182790117

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Bayside, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 21.2 Yrs
Regional Practice Density
55 Specialists

Practicing in Bayside, NY (8411 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License NY 39082

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 200-12 44TH AVENUE, BAYSIDE, NY 11361 (Tel: 7182799700)

📍
Updated Business Mailing Address July 08, 2007

Registered at 200-12 44TH AVENUE, BAYSIDE, NY 11361 (Tel: 7182799700)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as THEODORE DAVANTZIS, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Dentist (License #39082 in NY)

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Initial NPI Registration & Enumeration October 03, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1902991482
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 03, 2006
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

200-12 44th Avenue

Bayside, NY 11361

Phone: 7182799700

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.