Orthodontics At Jackson Heights Smiles, Pllc

LBN: Orthodontics At Jackson Heights Smiles, Pllc
Orthodontics At Jackson Heights Smiles, Pllc is an health care organization with primary practice located at 3062 79Th St 2Nd Floor, East Elmhurst NY 11370-1510. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Orthodontics At Jackson Heights Smiles, Pllc can be contacted via phone (718) 426-9400, or through Mathew, Saju via phone (631) 235-9007.

Contact Information

Primary practice address
3062 79Th St 2Nd Floor East Elmhurst NY 11370-1510
Fax: (718) 426-9497
Website:
Authorized official contact:
Name: Mathew, Saju Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 050711 New York

Profile Details

NPI number 1083033773
LBN Legal business name Orthodontics At Jackson Heights Smiles, Pllc
DBA Doing business as
Authorized official Mathew, Saju Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2014
Last updated May 29th, 2014 - about 10 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 1083033773 NPPES
New York MEDICAID 03128301

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