Liberty 786 Dentistry

LBN: Liberty 786 Dentistry
Liberty 786 Dentistry is an health care organization with primary practice located at 11302 Liberty Ave , South Richmond Hill NY 11419-1808. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Liberty 786 Dentistry can be contacted via phone (718) 322-4200, or through Khan, Rbeea M via phone (718) 322-4200.

Contact Information

Primary practice address
11302 Liberty Ave South Richmond Hill NY 11419-1808
Phone: (718) 322-4200
Fax: (718) 322-1144
Website:
Map and Directions
Authorized official contact:
Name: Khan, Rbeea M
Phone: (718) 322-4200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 054968-1 New York

Profile Details

NPI number 1700161338
LBN Legal business name Liberty 786 Dentistry
DBA Doing business as
Authorized official Khan, Rbeea M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2011
Last updated Oct 14th, 2011 - about 14 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 1700161338 NPPES
New York MEDICAID 03060184

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