Ridgewood Dental Group

LBN: Ridgewood Dental Group
Ridgewood Dental Group is an health care organization with primary practice located at 5431 Myrtle Ave , Ridgewood NY 11385-3403. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Ridgewood Dental Group can be contacted via phone (715) 456-7600, or through Cuiffo-Moradi, Marietta via phone (717) 456-7600.

Contact Information

Primary practice address
5431 Myrtle Ave Ridgewood NY 11385-3403
Phone: (715) 456-7600
Fax: (718) 821-3976
Website:
Map and Directions
Authorized official contact:
Name: Cuiffo-Moradi, Marietta Doctor of Dental Surgery (DDS)
Phone: (717) 456-7600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0423791 New York

Profile Details

NPI number 1164601266
LBN Legal business name Ridgewood Dental Group
DBA Doing business as
Authorized official Cuiffo-Moradi, Marietta Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 25th, 2007
Last updated Oct 25th, 2007 - about 17 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 1164601266 NPPES
New York MEDICAID 01001716

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