Boulevard Dental Associates

LBN: Boulevard Dental Associates
Boulevard Dental Associates is an health care organization with primary practice located at 430 Kenhorst Blvd , Reading PA 19611-1830. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Boulevard Dental Associates can be contacted via phone (610) 775-0321, or through Medianick, Timothy via phone (610) 775-0321.

Contact Information

Primary practice address
430 Kenhorst Blvd Reading PA 19611-1830
Phone: (610) 775-0321
Fax: (610) 777-8884
Website:
Map and Directions
Authorized official contact:
Name: Medianick, Timothy Doctor of Dental Medicine (DMD)
Phone: (610) 775-0321

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS036510 Pennsylvania
Dental Providers / General Practice 1223G0001X DN017638 Pennsylvania

Profile Details

NPI number 1659509404
LBN Legal business name Boulevard Dental Associates
DBA Doing business as
Authorized official Medianick, Timothy Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2009
Last updated Jul 27th, 2009 - 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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