1500 Grant Blvd Dentistry, Pllc

LBN: 1500 Grant Blvd Dentistry, Pllc
1500 Grant Blvd Dentistry, Pllc is an health care organization with primary practice located at 1500 Grant Blvd , Syracuse NY 13208-3014. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. 1500 Grant Blvd Dentistry, Pllc can be contacted via phone (315) 472-3414, or through Balakumar, Arun via phone (315) 472-3414.

Contact Information

Primary practice address
1500 Grant Blvd Syracuse NY 13208-3014
Phone: (315) 472-3414
Fax: (315) 472-4320
Website:
Map and Directions
Authorized official contact:
Name: Balakumar, Arun Doctor of Dental Surgery (DDS)
Phone: (315) 472-3414

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 051141 New York

Profile Details

NPI number 1497263685
LBN Legal business name 1500 Grant Blvd Dentistry, Pllc
DBA Doing business as
Authorized official Balakumar, Arun Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2018
Last updated Jan 22nd, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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