Dynamic Dentistry Llc
LBN: Dynamic Dentistry Llc
Dynamic Dentistry Llc is an health care organization with primary practice located at 17515 Jamaica Ave , Jamaica NY 11432-5525. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist. Dental Providers / General Practice is the primary health care specialty.
Dynamic Dentistry Llc can be contacted via phone (718) 297-4100, or through Lublin, Adam via phone (718) 297-4100.
Contact Information
Primary practice address
17515 Jamaica Ave
Jamaica NY 11432-5525
Phone: (718) 297-4100
Fax: (718) 297-4104
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 032158 | New York |
| Dental Providers / General Practice | 1223G0001X | 044929 | New York |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 051908 | New York |
| Dental Providers / Dental Hygienist | 124Q00000X | 022580 | New York |
| Dental Providers / Dental Hygienist | 124Q00000X | 031327 | New York |
Profile Details
| NPI number | 1306148127 |
|---|---|
| LBN Legal business name | Dynamic Dentistry Llc |
| DBA Doing business as | |
| Authorized official | Lublin, Adam |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 30th, 2010 |
| Last updated | Dec 2nd, 2010 - about 14 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 | 1306148127 | NPPES |
| New York | MEDICAID | 01980661 |
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