Lil Pearls Pediatric Dentistry Pllc

LBN: Lil Pearls Pediatric Dentistry Pllc
Lil Pearls Pediatric Dentistry Pllc is an health care organization with primary practice located at 94-11 65Th Rd Suite 1B, Rego Park NY 11374. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Lil Pearls Pediatric Dentistry Pllc can be contacted via phone (347) 682-5688, or through Fong, Jeffrey via phone (516) 241-9760.

Contact Information

Primary practice address
94-11 65Th Rd Suite 1B Rego Park NY 11374
Phone: (347) 682-5688
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fong, Jeffrey Doctor of Dental Surgery (DDS)
Phone: (516) 241-9760

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 056689-1 New York

Profile Details

NPI number 1669859294
LBN Legal business name Lil Pearls Pediatric Dentistry Pllc
DBA Doing business as
Authorized official Fong, Jeffrey Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2015
Last updated May 4th, 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 1669859294 NPPES
New York MEDICAID 03634535

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