Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710067129 Individual Practitioner Male Practitioner

Dr. Yefim Khanimov , DDS

Dentist - General Practice • Spring Valley, NY

Professional Overview & Biography Verified Profile Summary

Dr. Yefim Khanimov, DDS is a registered healthcare professional specializing in Dentist - General Practice in Spring Valley, NY. Practice services are available at 375 W ROUTE 59 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

375 W Route 59
White House Dental

Spring Valley, NY 109775360

Telephone 8453563353
Associated Practice Facility / Clinic
🏢 White House Dental Facility NPI 1962672493

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Spring Valley, NY

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

Practicing in Spring Valley, 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 0518741

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
02688728 (NY)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Rachel Luss

Dentist - General Practice

NPI 1467031310
Dr. Yelena Nutskovsky , DMD

Dentist - General Practice

NPI 1932154382

Doctor of Dental Medicine

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

📍
Updated Practice Location July 08, 2007

Registered at 375 W ROUTE 59, WHITE HOUSE DENTAL, SPRING VALLEY, NY 109775360 (Tel: 8453563353)

📍
Updated Business Mailing Address July 08, 2007

Registered at 15015 79TH AVE, FLUSHING, NY 113673945 (Tel: 9176046925)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as YEFIM KHANIMOV, DDS

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

Dentist (License #0518741 in NY)

🟢
Initial NPI Registration & Enumeration October 17, 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: 1710067129
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 17, 2006
Last Update: July 08, 2007
Sole Proprietor: No

Mailing Address

15015 79th Ave

Flushing, NY 113673945

Phone: 9176046925

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.