Roosevelt Dental Care Ii P.C.

LBN: Roosevelt Dental Care Ii P.C.
Roosevelt Dental Care Ii P.C. is an health care organization with primary practice located at 9553 Roosevelt Ave 2Nd Floor, Jackson Heights NY 11372-8028. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Roosevelt Dental Care Ii P.C. can be contacted via phone (718) 334-0431, or through Ostiago, Edwin via phone (718) 334-0431.

Contact Information

Primary practice address
9553 Roosevelt Ave 2Nd Floor Jackson Heights NY 11372-8028
Phone: (718) 334-0431
Fax: (718) 334-0676
Website:
Map and Directions
Authorized official contact:
Name: Ostiago, Edwin Doctor of Dental Surgery (DDS)
Phone: (718) 334-0431

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1760672893
LBN Legal business name Roosevelt Dental Care Ii P.C.
DBA Doing business as
Authorized official Ostiago, Edwin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2007
Last updated Jul 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 1760672893 NPPES
New York MEDICAID 02850695

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