174 Street Dental Llc

LBN: 174 Street Dental Llc
174 Street Dental Llc is an health care organization with primary practice located at 146 E 174Th St , Bronx NY 10457-6904. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 174 Street Dental Llc can be contacted via phone (213) 709-7154, or through Sycamore, Justin via phone (213) 709-7154.

Contact Information

Primary practice address
146 E 174Th St Bronx NY 10457-6904
Phone: (213) 709-7154
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sycamore, Justin Doctor of Dental Surgery (DDS)
Phone: (213) 709-7154

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 053429 New York

Profile Details

NPI number 1134358427
LBN Legal business name 174 Street Dental Llc
DBA Doing business as
Authorized official Sycamore, Justin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2009
Last updated Jul 8th, 2009 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134358427 NPPES
New York MEDICAID 02861549

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