Executive Smiles Inc

LBN: Executive Smiles Inc
Executive Smiles Inc is an health care organization with primary practice located at 460 Atlantic Ave , East Rockaway NY 11518-1547. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Executive Smiles Inc can be contacted via phone (516) 792-6533, or through Golian, Arshia via phone (516) 792-6533.

Contact Information

Primary practice address
460 Atlantic Ave East Rockaway NY 11518-1547
Fax: (516) 792-6533
Website:
Authorized official contact:
Name: Golian, Arshia Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 057005-1 New York

Profile Details

NPI number 1144700451
LBN Legal business name Executive Smiles Inc
DBA Doing business as
Authorized official Golian, Arshia Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2018
Last updated Aug 16th, 2018 - about 6 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 1144700451 NPPES
New York MEDICAID 03800300

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