Great Smiles Of Ny

LBN: Jacob A. Avner, Dds Pc
Great Smiles Of Ny is an health care organization with primary practice located at 9725 64Th Ave Unit: G-3, Rego Park NY 11374-2236. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jacob A. Avner, Dds Pc can be contacted via phone (718) 275-7300, or through Avner, Jacob via phone (718) 275-7300.

Contact Information

Primary practice address
9725 64Th Ave Unit: G-3 Rego Park NY 11374-2236
Phone: (718) 275-7300
Fax: (718) 275-7307
Website:
Map and Directions
Authorized official contact:
Name: Avner, Jacob Doctor of Dental Surgery (DDS)
Phone: (718) 275-7300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0496891 New York

Profile Details

NPI number 1114398807
LBN Legal business name Jacob A. Avner, Dds Pc
DBA Doing business as Great Smiles Of Ny
Authorized official Avner, Jacob Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 7th, 2015
Last updated Oct 7th, 2015 - about 9 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 1114398807 NPPES
New York MEDICAID 02282222

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