Jackson Heights Dental Center
LBN: Jackson Heights Dental Mr, Pc
Jackson Heights Dental Center is an health care organization with primary practice located at 8509 37Th Ave , Jackson Heights NY 11372-7344. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Dentist is the primary health care specialty.
Jackson Heights Dental Mr, Pc can be contacted via phone (718) 651-4523, or through Lorber, Mark David via phone (718) 651-4523.
Contact Information
Primary practice address
8509 37Th Ave
Jackson Heights NY 11372-7344
Phone: (718) 651-4523
Fax:
Website:
Authorized official contact:
Name: Lorber, Mark David Doctor of Dental Surgery (DDS)
Phone: (718) 651-4523
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 047347 | New York |
| Dental Providers / Dentist | 122300000X | 046409 | New York |
| Dental Providers / General Practice | 1223G0001X | 052071 | New York |
| Dental Providers / Periodontics | 1223P0300X | 047303 | New York |
Profile Details
| NPI number | 1760452106 |
|---|---|
| LBN Legal business name | Jackson Heights Dental Mr, Pc |
| DBA Doing business as | Jackson Heights Dental Center |
| Authorized official | Lorber, Mark David Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 26th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760452106 | NPPES |
| New York | MEDICAID | 01912481 |
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