Grand Dental Care Pc

LBN: Grand Dental Care Pc
Grand Dental Care Pc is an health care organization with primary practice located at 2000 Grand Ave , North Baldwin NY 11510-2811. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics, Dental Providers / Dental Hygienist. Dental Providers / General Practice is the primary health care specialty. Grand Dental Care Pc can be contacted via phone (516) 378-1968, or through Chavez-Romero, Flora Angela via phone (516) 378-1968.

Contact Information

Primary practice address
2000 Grand Ave North Baldwin NY 11510-2811
Phone: (516) 378-1968
Fax: (516) 608-9319
Website:
Map and Directions
Authorized official contact:
Name: Chavez-Romero, Flora Angela Doctor of Dental Surgery (DDS)
Phone: (516) 378-1968

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 046215 New York
Dental Providers / Prosthodontics 1223P0700X 052129 New York
Dental Providers / Dental Hygienist 124Q00000X P82633 New York

Profile Details

NPI number 1053689463
LBN Legal business name Grand Dental Care Pc
DBA Doing business as
Authorized official Chavez-Romero, Flora Angela Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 13th, 2011
Last updated Mar 22nd, 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 1053689463 NPPES
New York MEDICAID 02826084
New York MEDICAID 01588090
New York MEDICAID 01627467

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