Richard P. Medina, Dds, Llc

LBN: Richard P. Medina, Dds, Llc
Richard P. Medina, Dds, Llc is an health care organization with primary practice located at 3719 88Th St 1St Fl, Jackson Heights NY 11372-7630. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Richard P. Medina, Dds, Llc can be contacted via phone (718) 685-0031, or through Medina, Richard P via phone (718) 685-0031.

Contact Information

Primary practice address
3719 88Th St 1St Fl Jackson Heights NY 11372-7630
Phone: (718) 685-0031
Fax: (718) 685-0033
Website:
Map and Directions
Authorized official contact:
Name: Medina, Richard P Doctor of Dental Surgery (DDS)
Phone: (718) 685-0031

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1053586164
LBN Legal business name Richard P. Medina, Dds, Llc
DBA Doing business as
Authorized official Medina, Richard P Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 29th, 2008
Last updated Dec 30th, 2015 - about 10 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 1053586164 NPPES
New York MEDICAID 02146005

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