Ltc Mobile Dental Services, P.A.
LBN: Ltc Mobile Dental Services, P.A.
Ltc Mobile Dental Services, P.A. is an health care organization with primary practice located at 1961 Morris Ave Suite A-7, Union NJ 07083-3531. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Ltc Mobile Dental Services, P.A. can be contacted via phone (551) 404-5769, or through Gvildys, Rama E. via phone (551) 404-5769.
Contact Information
Primary practice address
1961 Morris Ave Suite A-7
Union NJ 07083-3531
Phone: (551) 404-5769
Fax: (866) 810-8101
Website:
Authorized official contact:
Name: Gvildys, Rama E. Doctor of Dental Medicine (DMD)
Phone: (551) 404-5769
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 22DI01820201 | New Jersey |
| Dental Providers / Dentist | 122300000X | 22DI02289100 | New Jersey |
Profile Details
| NPI number | 1083936611 |
|---|---|
| LBN Legal business name | Ltc Mobile Dental Services, P.A. |
| DBA Doing business as | Ltc Mobile Dental Services, P.A. |
| Authorized official | Gvildys, Rama E. Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2010 |
| Last updated | Sep 1st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083936611 | NPPES |
| New Jersey | MEDICAID | 1427108307 | |
| New Jersey | MEDICAID | 1700917127 | |
| New Jersey | MEDICAID | 1285785006 |
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