Evan P. Mondshine, D.D.S., P.C.

LBN: Evan P. Mondshine, D.D.S., P.C.
Evan P. Mondshine, D.D.S., P.C. is an health care organization with primary practice located at 6836 108Th St Ste B10 , Forest Hills NY 11375-3366. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Evan P. Mondshine, D.D.S., P.C. can be contacted via phone (718) 268-1561, or through Mondshine, Evan P via phone (718) 268-1561.

Contact Information

Primary practice address
6836 108Th St Ste B10 Forest Hills NY 11375-3366
Phone: (718) 268-1561
Fax: (718) 268-1577
Website:
Map and Directions
Authorized official contact:
Name: Mondshine, Evan P Doctor of Dental Surgery (DDS)
Phone: (718) 268-1561

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 031513 New York

Profile Details

NPI number 1558497529
LBN Legal business name Evan P. Mondshine, D.D.S., P.C.
DBA Doing business as
Authorized official Mondshine, Evan P Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 26th, 2007
Last updated Mar 12th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558497529 NPPES
New York MEDICAID 00339946

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