Deborahninadentalofficepc
LBN: Deborahninadentalofficepc
Deborahninadentalofficepc is an health care organization with primary practice located at 9203 Roosevelt Ave , Jackson Heights NY 11372-7941. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty.
Deborahninadentalofficepc can be contacted via phone (718) 429-6622, or through Nina, Deborah via phone (718) 429-6622.
Contact Information
Primary practice address
9203 Roosevelt Ave
Jackson Heights NY 11372-7941
Phone: (718) 429-6622
Fax: (718) 429-6669
Website:
Authorized official contact:
Name: Nina, Deborah Doctor of Dental Surgery (DDS)
Phone: (718) 429-6622
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 055474-1 | New York |
| Dental Providers / Dentist | 122300000X | 048101-1 | New York |
| Dental Providers / General Practice | 1223G0001X | 050127-1 | New York |
| Dental Providers / General Practice | 1223G0001X | 048800-1 | New York |
| Dental Providers / General Practice | 1223G0001X | 052578-1 | New York |
| Dental Providers / General Practice | 1223G0001X | 055242-1 | New York |
Profile Details
| NPI number | 1881991214 |
|---|---|
| LBN Legal business name | Deborahninadentalofficepc |
| DBA Doing business as | |
| Authorized official | Nina, Deborah Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 21st, 2011 |
| Last updated | Jan 9th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881991214 | NPPES |
| New York | MEDICAID | 02348667 |
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