Hollis Advanced Dental Care P.C.

LBN: Hollis Advanced Dental Care P.C.
Hollis Advanced Dental Care P.C. is an health care organization with primary practice located at 19002 Jamaica Ave 2 Floor, Hollis NY 11423-2516. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is the primary health care specialty. Hollis Advanced Dental Care P.C. can be contacted via phone (718) 454-7418, or through Katayev, Benjamin V via phone (718) 454-7418.

Contact Information

Primary practice address
19002 Jamaica Ave 2 Floor Hollis NY 11423-2516
Phone: (718) 454-7418
Fax: (718) 217-2657
Website:
Map and Directions
Authorized official contact:
Name: Katayev, Benjamin V Doctor of Dental Surgery (DDS)
Phone: (718) 454-7418

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X New York
Dental Providers / Periodontics 1223P0300X New York
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X New York

Profile Details

NPI number 1699922088
LBN Legal business name Hollis Advanced Dental Care P.C.
DBA Doing business as
Authorized official Katayev, Benjamin V Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 27th, 2008
Last updated Aug 27th, 2008 - about 16 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 1699922088 NPPES
New York MEDICAID 011896900
New York MEDICAID 02587795

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