Hyattsville Pediatrice Dentistry
LBN: Hyattsville Pediatrice Dentistry
Hyattsville Pediatrice Dentistry is an health care organization with primary practice located at 2970 Belcrest Center Drive Suite 105, Hyattsville MD 20782-1987. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty.
Hyattsville Pediatrice Dentistry can be contacted via phone (240) 764-5510, or through Dufresne, Kesnel via phone (240) 764-5510.
Contact Information
Primary practice address
2970 Belcrest Center Drive Suite 105
Hyattsville MD 20782-1987
Phone: (240) 764-5510
Fax: (240) 764-5512
Website:
Authorized official contact:
Name: Dufresne, Kesnel Doctor of Dental Surgery (DDS)
Phone: (240) 764-5510
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 09236 | Maryland |
Profile Details
| NPI number | 1760887970 |
|---|---|
| LBN Legal business name | Hyattsville Pediatrice Dentistry |
| DBA Doing business as | |
| Authorized official | Dufresne, Kesnel Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 30th, 2014 |
| Last updated | Mar 7th, 2023 - about 2 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 | 1760887970 | NPPES |
| Maryland | Other | 14445 | STATE OF MARYLAND, DEPARTMENT OF HEALTH AND MENTAL HYGIENE, LICENSE |
| Maryland | MEDICAID | 410995300 | STATE OF MARYLAND, DEPARTMENT OF HEALTH AND MENTAL HYGIENE, LICENSE |
| Maryland | Other | D72767 | STATE OF MARYLAND, DEPARTMENT OF HEALTH AND MENTAL HYGIENE, LICENSE |
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