Grant Blvd Dental Pllc

LBN: Grant Blvd Dental Pllc
Grant Blvd Dental Pllc is an health care organization with primary practice located at 1500 Grant Blvd , Syracuse NY 13208. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Grant Blvd Dental Pllc can be contacted via phone (315) 472-3414, or through Kassab, Juan C via phone (315) 472-3414.

Contact Information

Primary practice address
1500 Grant Blvd Syracuse NY 13208
Phone: (315) 472-3414
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kassab, Juan C Doctor of Dental Medicine (DMD)
Phone: (315) 472-3414

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0443351 New York

Profile Details

NPI number 1982729091
LBN Legal business name Grant Blvd Dental Pllc
DBA Doing business as
Authorized official Kassab, Juan C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 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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