Advanced Aesthetic Dentistry
LBN: Advanced Aesthetic Dentistry
Advanced Aesthetic Dentistry is an health care organization with primary practice located at 3244 E Main St , Mohegan Lake NY 10547-1535. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Advanced Aesthetic Dentistry can be contacted via phone (914) 526-2144, or through Mejia, Wanda E via phone (914) 526-2144.
Contact Information
Primary practice address
3244 E Main St
Mohegan Lake NY 10547-1535
Phone: (914) 526-2144
Fax: (914) 523-2187
Website:
Authorized official contact:
Name: Mejia, Wanda E Doctor of Dental Surgery (DDS)
Phone: (914) 526-2144
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 048615 | New York |
Dental Providers / General Practice | 1223G0001X | 048450 | New York |
Profile Details
NPI number | 1538370465 |
---|---|
LBN Legal business name | Advanced Aesthetic Dentistry |
DBA Doing business as | |
Authorized official | Mejia, Wanda E Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 24th, 2007 |
Last updated | Aug 22nd, 2020 - about 5 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538370465 | NPPES |
New York | Other | 048450 | DENTIST LIC # |
New York | Other | 048615 | DENTIST LIC # |
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