A R Advanced Dental Group Pc

LBN: A R Advanced Dental Group Pc
A R Advanced Dental Group Pc is an health care organization with primary practice located at 5C Medical Park Dr , Pomona NY 10970-3516. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. A R Advanced Dental Group Pc can be contacted via phone (845) 364-9400, or through Izmailov, Roman via phone (845) 222-3330.

Contact Information

Primary practice address
5C Medical Park Dr Pomona NY 10970-3516
Phone: (845) 364-9400
Fax: (845) 364-0284
Website:
Map and Directions
Authorized official contact:
Name: Izmailov, Roman Doctor of Dental Surgery (DDS)
Phone: (845) 222-3330

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1235285024
LBN Legal business name A R Advanced Dental Group Pc
DBA Doing business as
Authorized official Izmailov, Roman Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Jun 16th, 2008 - about 16 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 1235285024 NPPES
New York Other 11713 DORAL LOCATION NUMBER
New York MEDICAID 022-05-383 DORAL LOCATION NUMBER

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