Queens Family Dental Office Pc

LBN: Queens Family Dental Office Pc
Queens Family Dental Office Pc is an health care organization with primary practice located at 9506 Roosevelt Ave , Jackson Heights NY 11372-8029. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Queens Family Dental Office Pc can be contacted via phone (718) 507-9100, or through Reynoso, Patria via phone (718) 507-9100.

Contact Information

Primary practice address
9506 Roosevelt Ave Jackson Heights NY 11372-8029
Phone: (718) 507-9100
Fax: (718) 507-7377
Website:
Map and Directions
Authorized official contact:
Name: Reynoso, Patria
Phone: (718) 507-9100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 0465601 New York

Profile Details

NPI number 1902077670
LBN Legal business name Queens Family Dental Office Pc
DBA Doing business as
Authorized official Reynoso, Patria
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2008
Last updated Mar 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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Identifiers

StateTypeNumberIssuer
All States NPI 1902077670 NPPES
New York MEDICAID 01676782

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