Galleria Mall Dental Pc
LBN: Galleria Mall Dental Pc
Galleria Mall Dental Pc is an health care organization with primary practice located at 100 Main St , White Plains NY 10601-2601. The organization recently has 4 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Galleria Mall Dental Pc can be contacted via phone (914) 997-9000, or through Krasnov, Ross via phone (914) 997-9000.
Contact Information
Primary practice address
100 Main St
White Plains NY 10601-2601
Phone: (914) 997-9000
Fax:
Website:
Authorized official contact:
Name: Krasnov, Ross Doctor of Dental Surgery (DDS)
Phone: (914) 997-9000
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 046043 | New York |
| Dental Providers / General Practice | 1223G0001X | 052674 | New York |
| Dental Providers / General Practice | 1223G0001X | 052119 | New York |
| Dental Providers / General Practice | 1223G0001X | 050148 | New York |
| Dental Providers / General Practice | 1223G0001X | 052112 | New York |
| Dental Providers / Pediatric Dentistry | 1223P0221X | 048760 | New York |
| Dental Providers / Periodontics | 1223P0300X | 042707 | New York |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 048185 | New York |
Profile Details
| NPI number | 1023155470 |
|---|---|
| LBN Legal business name | Galleria Mall Dental Pc |
| DBA Doing business as | |
| Authorized official | Krasnov, Ross Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 1st, 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 | 1023155470 | NPPES |
| New York | MEDICAID | 02598167 |
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