Fulton Park Plaza Dental Care P C

LBN: Fulton Park Plaza Dental Care P C
Fulton Park Plaza Dental Care P C is an health care organization with primary practice located at 8773 Sutphin Blvd , Jamaica NY 11435-3343. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Fulton Park Plaza Dental Care P C can be contacted via phone (718) 778-8512, or through Mukit, Mohammed via phone (718) 778-8512.

Contact Information

Primary practice address
8773 Sutphin Blvd Jamaica NY 11435-3343
Phone: (718) 778-8512
Fax: (718) 221-2147
Website:
Map and Directions
Authorized official contact:
Name: Mukit, Mohammed Doctor of Dental Surgery (DDS)
Phone: (718) 778-8512

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 041982 New York

Profile Details

NPI number 1073791323
LBN Legal business name Fulton Park Plaza Dental Care P C
DBA Doing business as
Authorized official Mukit, Mohammed Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2008
Last updated Oct 10th, 2017 - about 7 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 1073791323 NPPES
New York MEDICAID 01109677

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