Queens Modern Dental

LBN: Queens Modern Dental
Queens Modern Dental is an health care organization with primary practice located at 21820 Hempstead Ave Suite 2, Queens Village NY 11429-1235. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Queens Modern Dental can be contacted via phone (718) 217-8700, or through Saint Paul, Lourdes Joanne via phone (718) 217-8700.

Contact Information

Primary practice address
21820 Hempstead Ave Suite 2 Queens Village NY 11429-1235
Phone: (718) 217-8700
Fax: (718) 217-8706
Website:
Map and Directions
Authorized official contact:
Name: Saint Paul, Lourdes Joanne Doctor of Dental Surgery (DDS)
Phone: (718) 217-8700

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050925 New York

Profile Details

NPI number 1083991822
LBN Legal business name Queens Modern Dental
DBA Doing business as
Authorized official Saint Paul, Lourdes Joanne Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 8th, 2011
Last updated Nov 8th, 2011 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1083991822 NPPES
New York MEDICAID 02584774

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