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:
Authorized official contact:
Name: Chavez-Romero, Flora Angela Doctor of Dental Surgery (DDS)
Phone: (516) 378-1968
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1053689463 | NPPES |
| New York | MEDICAID | 02826084 | |
| New York | MEDICAID | 01588090 | |
| New York | MEDICAID | 01627467 |
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