Island Orthodontic,Pllc

LBN: Island Orthodontic,Pllc
Island Orthodontic,Pllc is an health care organization with primary practice located at 500 Portion Rd , Lake Ronkonkoma NY 11779-4587. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Island Orthodontic,Pllc can be contacted via phone (631) 588-1199, or through Friedman, Scott via phone (631) 588-1199.

Contact Information

Primary practice address
500 Portion Rd Lake Ronkonkoma NY 11779-4587
Phone: (631) 588-1199
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Friedman, Scott Doctor of Dental Surgery (DDS)
Phone: (631) 588-1199

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 034366 New York

Profile Details

NPI number 1558439844
LBN Legal business name Island Orthodontic,Pllc
DBA Doing business as
Authorized official Friedman, Scott Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2006
Last updated Mar 31st, 2017 - about 8 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 1558439844 NPPES
New York MEDICAID 01076008

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