Orthoclub Pc

LBN: Avenue U Orthodontics, Pllc
Orthoclub Pc is an health care organization with primary practice located at 79 Avenue U , Brooklyn NY 11223-3554. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Avenue U Orthodontics, Pllc can be contacted via phone (718) 373-6707, or through Drut, Oleg via phone (201) 308-8181.

Contact Information

Primary practice address
79 Avenue U Brooklyn NY 11223-3554
Phone: (718) 373-6707
Fax: (888) 292-7017
Website:
Map and Directions
Authorized official contact:
Name: Drut, Oleg Doctor of Dental Surgery (DDS)
Phone: (201) 308-8181

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X DI20707 New Jersey
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1164575478
LBN Legal business name Avenue U Orthodontics, Pllc
DBA Doing business as Orthoclub Pc
Authorized official Drut, Oleg Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 19th, 2007
Last updated Aug 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164575478 NPPES
New Jersey MEDICAID 0045063
New Jersey MEDICAID 03128943

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