3545 Johnson Blvd Dental Pc

LBN: 3545 Johnson Blvd Dental Pc
3545 Johnson Blvd Dental Pc is an health care organization with primary practice located at 1624 University Ave Bsmt , Bronx NY 10453-6948. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. 3545 Johnson Blvd Dental Pc can be contacted via phone (718) 294-3725, or through Okeke, Obianuju via phone (502) 718-6258.

Contact Information

Primary practice address
1624 University Ave Bsmt Bronx NY 10453-6948
Phone: (718) 294-3725
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Okeke, Obianuju Doctor of Dental Surgery (DDS)
Phone: (502) 718-6258

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1124759527
LBN Legal business name 3545 Johnson Blvd Dental Pc
DBA Doing business as
Authorized official Okeke, Obianuju Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2022
Last updated Jun 17th, 2022 - about 2 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 1124759527 NPPES
New York MEDICAID 06804993

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