Morris Avenue Children & Adult Dentistry

LBN: Morris Avenue Children & Adult Dentistry
Morris Avenue Children & Adult Dentistry is an health care organization with primary practice located at 1037 Morris Ave , Bronx NY 10456-5816. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Morris Avenue Children & Adult Dentistry can be contacted via phone (718) 293-8005, or through Yaghoubian, Shahroukh via phone (718) 293-8005.

Contact Information

Primary practice address
1037 Morris Ave Bronx NY 10456-5816
Phone: (718) 293-8005
Fax: (718) 681-5515
Website:
Map and Directions
Authorized official contact:
Name: Yaghoubian, Shahroukh Doctor of Dental Surgery (DDS)
Phone: (718) 293-8005

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 045772 New York

Profile Details

NPI number 1255538120
LBN Legal business name Morris Avenue Children & Adult Dentistry
DBA Doing business as
Authorized official Yaghoubian, Shahroukh Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 2nd, 2007
Last updated Aug 22nd, 2020 - about 5 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 1255538120 NPPES
New York MEDICAID 01668193

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