Port Washington Dental Care Pc
LBN: Port Washington Dental Care Pc
Port Washington Dental Care Pc is an health care organization with primary practice located at 18 Haven Ave Suite 200, Port Washington NY 11050-3643. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Port Washington Dental Care Pc can be contacted via phone (516) 944-5300, or through Katechis, Tassos via phone (516) 944-5300.
Contact Information
Primary practice address
18 Haven Ave Suite 200
Port Washington NY 11050-3643
Phone: (516) 944-5300
Fax: (516) 944-5304
Website:
Authorized official contact:
Name: Katechis, Tassos Doctor of Dental Surgery (DDS)
Phone: (516) 944-5300
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 052953 | New York |
| Dental Providers / General Practice | 1223G0001X | 049624 | New York |
Profile Details
| NPI number | 1881918712 |
|---|---|
| LBN Legal business name | Port Washington Dental Care Pc |
| DBA Doing business as | |
| Authorized official | Katechis, Tassos Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2010 |
| Last updated | Mar 22nd, 2010 - about 14 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 | 1881918712 | NPPES |
| New York | MEDICAID | 02299109 | |
| New York | MEDICAID | 02784756 |
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