A-Gold Coast Family Dental

LBN: A-Gold Coast Family Dental
A-Gold Coast Family Dental is an health care organization with primary practice located at 2 Cow Neck Rd , Port Washington NY 11050-1712. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. A-Gold Coast Family Dental can be contacted via phone (516) 883-8810, or through Keren, Doron via phone (516) 883-8810.

Contact Information

Primary practice address
2 Cow Neck Rd Port Washington NY 11050-1712
Fax:
Website:
Authorized official contact:
Name: Keren, Doron Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1174705768
LBN Legal business name A-Gold Coast Family Dental
DBA Doing business as
Authorized official Keren, Doron Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2007
Last updated Dec 5th, 2007 - about 17 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 1174705768 NPPES
New York MEDICAID 02241743

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