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:
Map and Directions
Authorized official contact:
Name: Lublin, Adam
Phone: (718) 297-4100

Health care specialties

SpecialtyCodeLicense #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 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 1306148127 NPPES
New York MEDICAID 01980661

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