Charles Marvin, Dds, P.C.

LBN: Charles Marvin, Dds, P.C.
Charles Marvin, Dds, P.C. is an health care organization with primary practice located at 978 Route 45 Northside Plaza, Suite 207, Pomona NY 10970-3521. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Charles Marvin, Dds, P.C. can be contacted via phone (845) 354-4600, or through Marvin, Michelle Lynn via phone (845) 354-4600.

Contact Information

Primary practice address
978 Route 45 Northside Plaza, Suite 207 Pomona NY 10970-3521
Fax: (845) 354-4653
Website:
Authorized official contact:
Name: Marvin, Michelle Lynn

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 048411-1 New York

Profile Details

NPI number 1326184508
LBN Legal business name Charles Marvin, Dds, P.C.
DBA Doing business as
Authorized official Marvin, Michelle Lynn
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2007
Last updated May 11th, 2009 - about 15 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 1326184508 NPPES
New York MEDICAID 02 042 244

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