Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1861693871 Individual Practitioner Male Practitioner

Dr. Antonio Ardisana , DDS

Dentist - General Practice • Elmhurst, NY

Professional Overview & Biography Verified Profile Summary

Dr. Antonio Ardisana, DDS is a registered healthcare professional specializing in Dentist - General Practice in Elmhurst, NY. Practice services are available at 8710 GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8710 Grand Ave

Elmhurst, NY 113734444

Telephone 7184298300
Fax 5168222396
Associated Practice Facility / Clinic
🏢 Jules V. Lane, Dds Facility NPI 1659360881

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Elmhurst, NY

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

Practicing in Elmhurst, 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 034831

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00487994 (NY)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners
Sherine Ibrahim , DDS06

Dentist - General Practice

NPI 1073720181
Dr. Hatim Gandhi , DDS

Dentist - General Practice

NPI 1093916306

Doctor of Dental Surgery

Dr. Jayashree Bhinda , DDS

Dentist - General Practice

NPI 1134303084

Doctor of Dental Surgery

Dr. Amin Joseph , DDS

Dentist - General Practice

NPI 1245432590

Doctor of Dental Surgery

Dr. Shefali Marchawala , DDS

Dentist - General Practice

NPI 1316144116

Doctor of Dental Surgery

Dr. Danil Farkash , DDS

Dentist - General Practice

NPI 1346443751

Doctor of Dental Surgery

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Business Mailing Address August 08, 2019

Registered at 37 TRIANGLE RD, LIBERTY, NY 12754 (Tel: 8452923900)

👤
Provider Name / Credentials Updated August 08, 2019

Recorded as ANTONIO ARDISANA, D.D.S.

NPI Profile Active July 09, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 09, 2007

Registered at 8710 GRAND AVE, ELMHURST, NY 113734444 (Tel: 7184298300)

📍
Updated Business Mailing Address July 09, 2007

Registered at 1953 77TH ST, EAST ELMHURST, NY 113701206 (Tel: 7187283068)

👤
Provider Name / Credentials Updated July 09, 2007

Recorded as ANTHONY ARDISANA, D.D.S.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 09, 2007

Dentist (License #034831 in NY)

🟢
Initial NPI Registration & Enumeration May 29, 2007

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: 1861693871
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 29, 2007
Last Update: August 08, 2019
Sole Proprietor: Yes

Mailing Address

37 Triangle Rd

Liberty, NY 12754

Phone: 8452923900

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.