Galleria Mall Dental Pc

LBN: Galleria Mall Dental Pc
Galleria Mall Dental Pc is an health care organization with primary practice located at 1 N Galleria Dr Ste 141 , Middletown NY 10941-3030. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics. Dental Providers / Dentist is the primary health care specialty. Galleria Mall Dental Pc can be contacted via phone (845) 692-9212, or through Krasnov, Ross via phone (845) 692-9212.

Contact Information

Primary practice address
1 N Galleria Dr Ste 141 Middletown NY 10941-3030
Phone: (845) 692-9212
Fax: (845) 692-9215
Website:
Map and Directions
Authorized official contact:
Name: Krasnov, Ross
Phone: (845) 692-9212

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 049213 New York
Dental Providers / Dentist 122300000X 052828 New York
Dental Providers / Pediatric Dentistry 1223P0221X 048760 New York
Dental Providers / Periodontics 1223P0300X 042707 New York

Profile Details

NPI number 1932326618
LBN Legal business name Galleria Mall Dental Pc
DBA Doing business as
Authorized official Krasnov, Ross
Entity Organization
Organization subpart 1 No
Enumeration date Apr 20th, 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.

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