Jic Dental Care

LBN: Jic Dental Care
Jic Dental Care is an health care organization with primary practice located at 37B Garrett Rd , Upper Darby PA 19082-2302. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Jic Dental Care can be contacted via phone (610) 352-4091, or through Jang, Young Soo via phone (267) 632-5774.

Contact Information

Primary practice address
37B Garrett Rd Upper Darby PA 19082-2302
Phone: (610) 352-4091
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jang, Young Soo Doctor of Dental Medicine (DMD)
Phone: (267) 632-5774

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X DS030832L Pennsylvania

Profile Details

NPI number 1477006799
LBN Legal business name Jic Dental Care
DBA Doing business as
Authorized official Jang, Young Soo Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 3rd, 2016
Last updated Aug 3rd, 2016 - 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 1477006799 NPPES
Pennsylvania MEDICAID 1023390590001

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