Black Hall Dental, P.C.

LBN: Black Hall Dental, P.C.
Black Hall Dental, P.C. is an health care organization with primary practice located at 10 Medical Plz Ste 210 , Glen Cove NY 11542-2101. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Black Hall Dental, P.C. can be contacted via phone (516) 671-2903, or through Fan, Theresa via phone (516) 674-7646.

Contact Information

Primary practice address
10 Medical Plz Ste 210 Glen Cove NY 11542-2101
Phone: (516) 671-2903
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fan, Theresa Doctor of Dental Surgery (DDS)
Phone: (516) 674-7646

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1306698840
LBN Legal business name Black Hall Dental, P.C.
DBA Doing business as
Authorized official Fan, Theresa Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 5th, 2024
Last updated Apr 5th, 2024 - about 7 months 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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