Queens Center Dental Pc
LBN: Queens Dental Associates Pc
Queens Center Dental Pc is an health care organization with primary practice located at 90-15 Queens Blvd , Elmhurst NY 11373. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty.
Queens Dental Associates Pc can be contacted via phone (718) 760-1616, or through Mikhaliou, Alexander via phone (718) 760-1616.
Contact Information
Primary practice address
90-15 Queens Blvd
Elmhurst NY 11373
Phone: (718) 760-1616
Fax: (718) 760-9641
Website:
Authorized official contact:
Name: Mikhaliou, Alexander Doctor of Dental Surgery (DDS)
Phone: (718) 760-1616
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Pediatric Dentistry | 1223P0221X | ||
| Dental Providers / Periodontics | 1223P0300X |
Profile Details
| NPI number | 1093723082 |
|---|---|
| LBN Legal business name | Queens Dental Associates Pc |
| DBA Doing business as | Queens Center Dental Pc |
| Authorized official | Mikhaliou, Alexander Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 4th, 2006 |
| Last updated | Aug 22nd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1093723082 | NPPES |
| New York | MEDICAID | 02663298 |
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