Bendale, Suresh N

Bendale, Suresh N is an sole proprietor health care provider with primary practice located at 337 Saint Nicholas Ave , Ridgewood NY 11385-2738. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Bendale, Suresh N can be contacted via phone (718) 366-4107.

Contact Information

Primary practice address
337 Saint Nicholas Ave Ridgewood NY 11385-2738
Fax: (718) 366-4107
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 039877-1 New York

Profile Details

NPI number 1073502274
LBN Legal business name Bendale, Suresh N
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 19th, 2005
Last updated Jul 9th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073502274 NPPES
New York MEDICAID 00952561

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