Port Jefferson Dental Group P. C.

LBN: Port Jefferson Dental Group P. C.
Port Jefferson Dental Group P. C. is an health care organization with primary practice located at 602 Main St , Port Jefferson NY 11777-2203. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Port Jefferson Dental Group P. C. can be contacted via phone (631) 473-0605, or through Rutter, John C via phone (631) 473-1511.

Contact Information

Primary practice address
602 Main St Port Jefferson NY 11777-2203
Phone: (631) 473-0605
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Rutter, John C Doctor of Dental Medicine (DMD)
Phone: (631) 473-1511

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 033761 New York
Dental Providers / General Practice 1223G0001X 051054 New York

Profile Details

NPI number 1093960890
LBN Legal business name Port Jefferson Dental Group P. C.
DBA Doing business as
Authorized official Rutter, John C Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 20th, 2008
Last updated Nov 20th, 2008 - about 16 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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