Eldridge Dental Care P.C.
LBN: Eldridge Dental Care P.C.
Eldridge Dental Care P.C. is an health care organization with primary practice located at 1432 Forest Ave , Staten Island NY 10302-2204. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Eldridge Dental Care P.C. can be contacted via phone (718) 442-9254, or through Volotsenko, Dmitriy via phone (718) 442-9254.
Contact Information
Primary practice address
1432 Forest Ave
Staten Island NY 10302-2204
Phone: (718) 442-9254
Fax: (718) 720-9107
Website:
Authorized official contact:
Name: Volotsenko, Dmitriy Doctor of Dental Surgery (DDS)
Phone: (718) 442-9254
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 047879 | New York |
| Dental Providers / General Practice | 1223G0001X | 0419971 | New York |
| Dental Providers / General Practice | 1223G0001X | 050410 | New York |
| Dental Providers / General Practice | 1223G0001X | 051388 | New York |
Profile Details
| NPI number | 1194862953 |
|---|---|
| LBN Legal business name | Eldridge Dental Care P.C. |
| DBA Doing business as | |
| Authorized official | Volotsenko, Dmitriy Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 31st, 2007 |
| Last updated | Aug 22nd, 2020 - about 4 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 | 1194862953 | NPPES |
| New York | MEDICAID | 01954503 |
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