Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1114418977 Individual Practitioner Male Practitioner

Dr. Michael Samandarov , DDS

Dentist • Jackson Heights, NY

Professional Overview & Biography Verified Profile Summary

Dr. Michael Samandarov, DDS is a registered healthcare professional specializing in Dentist in Jackson Heights, NY. Practice services are available at 8411 NORTHERN BLVD FL 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

8411 Northern Blvd Fl 1

Jackson Heights, NY 113721531

Telephone 7184247100
Associated Practice Facility / Clinic
🏢 Alliance Dental P.c. Facility NPI 1750475935

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist in Jackson Heights, NY

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 24.5 Yrs
Regional Practice Density
36 Specialists

Practicing in Jackson Heights, NY (6355 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

CMS Verified: 2021-08-11
Dentist Primary Specialty

NUCC Taxonomy Code: 122300000X

State License NY 060753

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Practice Associates & Co-Workers

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

2 Associated Practitioners
Dr. Veniamin Levant , DDS

Dentist - General Practice

NPI 1083603666

Doctor of Dental Surgery

NPI 1982797387

Doctor of Dental Surgery

Career & Practice History Timeline

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

11 Historical Events
📍
Updated Practice Location August 11, 2021

Registered at 8411 NORTHERN BLVD FL 1, JACKSON HEIGHTS, NY 113721531 (Tel: 7184247100)

📍
Updated Business Mailing Address August 11, 2021

Registered at 8411 NORTHERN BLVD FL 1, JACKSON HEIGHTS, NY 113721531 (Tel: 7184247100)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 11, 2021

Dentist (License #060753 in NY)

📍
Updated Practice Location June 07, 2019

Registered at 13420 JAMAICA AVE FL 3, JAMAICA, NY 114182619 (Tel: 7182066980)

📍
Updated Business Mailing Address June 07, 2019

Registered at 13420 JAMAICA AVE FL 3, JAMAICA, NY 114182619 (Tel: 7182066980)

NPI Profile Active May 28, 2018

NPI status registered as active in NPPES database

📍
Updated Practice Location May 28, 2018

Registered at 9710 62ND DR APT 14H, REGO PARK, NY 11374 (Tel: 9179225561)

📍
Updated Business Mailing Address May 28, 2018

Registered at 9710 62ND DR APT 14H, REGO PARK, NY 113741308 (Tel: 9179225561)

👤
Provider Name / Credentials Updated May 28, 2018

Recorded as MICHAEL SAMANDAROV, DDS

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 28, 2018

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration May 28, 2018

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: 1114418977
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 28, 2018
Last Update: August 11, 2021
Sole Proprietor: No

Mailing Address

8411 Northern Blvd Fl 1

Jackson Heights, NY 113721531

Phone: 7184247100

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.