Pavel Niderman D.D.S Atlantic Dental

LBN: Pavel Niderman D.D.S Atlantic Dental
Pavel Niderman D.D.S Atlantic Dental is an health care organization with primary practice located at 2060 Lexington Ave Frnt 2 , New York NY 10035-1759. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / Dentist is the primary health care specialty. Pavel Niderman D.D.S Atlantic Dental can be contacted via phone (212) 996-5996, or through Niderman, Pavel via phone (212) 996-5996.

Contact Information

Primary practice address
2060 Lexington Ave Frnt 2 New York NY 10035-1759
Phone: (212) 996-5996
Fax: (212) 996-0030
Website:
Map and Directions
Authorized official contact:
Name: Niderman, Pavel Doctor of Dental Surgery (DDS)
Phone: (212) 996-5996

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 044976 New York
Dental Providers / General Practice 1223G0001X 044976 New York
Dental Providers / Periodontics 1223P0300X 048519 New York

Profile Details

NPI number 1437372380
LBN Legal business name Pavel Niderman D.D.S Atlantic Dental
DBA Doing business as
Authorized official Niderman, Pavel Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2007
Last updated Jul 20th, 2020 - about 4 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 1437372380 NPPES
New York MEDICAID 02241298

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