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
Phone: (718) 426-9400
Fax: (718) 426-9497
Website:
Authorized official contact:
Name: Mathew, Saju Doctor of Dental Surgery (DDS)
Phone: (631) 235-9007
Health care specialties
| Specialty | Code | License # | 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 11 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 | 1083033773 | NPPES |
| New York | MEDICAID | 03128301 |
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