Lakewood Pediatric Dentistry Pllc

LBN: Lakewood Pediatric Dentistry Pllc
Lakewood Pediatric Dentistry Pllc is an health care organization with primary practice located at 133 E Fairmount Ave Ste 1 , Lakewood NY 14750-1950. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Lakewood Pediatric Dentistry Pllc can be contacted via phone (716) 763-0130, or through Carlson, Jan via phone (716) 763-0130.

Contact Information

Primary practice address
133 E Fairmount Ave Ste 1 Lakewood NY 14750-1950
Phone: (716) 763-0130
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carlson, Jan Doctor of Dental Surgery (DDS)
Phone: (716) 763-0130

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 058246 New York

Profile Details

NPI number 1417499500
LBN Legal business name Lakewood Pediatric Dentistry Pllc
DBA Doing business as
Authorized official Carlson, Jan Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2016
Last updated Nov 7th, 2016 - 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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