Pena, Hector
Pena, Hector is an individual health care provider with primary practice located at 3255 83Rd St Ground Floor, East Elmhurst NY 11370-2007. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Pena, Hector can be contacted via phone (718) 313-0613.Contact Information
Primary practice address
3255 83Rd St Ground Floor
East Elmhurst NY 11370-2007
Phone: (718) 313-0613
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 050912 | New York |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 050912 | New York |
Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | 11343 | Connecticut |
Profile Details
NPI number | 1801819685 |
---|---|
LBN Legal business name | Pena, Hector |
Credentials | Doctor of Dental Medicine (DMD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 25th, 2006 |
Last updated | Jul 13th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1801819685 | NPPES |
New York | MEDICAID | 02420111 | |
New York | Other | 9176251 |
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