Roosevelt Field Mall Dental Pc

LBN: Roosevelt Field Mall Dental Pc
Roosevelt Field Mall Dental Pc is an health care organization with primary practice located at 630 Old Country Road , Garden City NY 11530. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty. Roosevelt Field Mall Dental Pc can be contacted via phone (516) 294-1919, or through Mikhailov, Alexander M via phone (516) 294-1919.

Contact Information

Primary practice address
630 Old Country Road Garden City NY 11530
Phone: (516) 294-1919
Fax: (516) 294-6219
Website:
Map and Directions
Authorized official contact:
Name: Mikhailov, Alexander M Doctor of Dental Surgery (DDS)
Phone: (516) 294-1919

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X New York
Dental Providers / Periodontics 1223P0300X New York

Profile Details

NPI number 1073638151
LBN Legal business name Roosevelt Field Mall Dental Pc
DBA Doing business as
Authorized official Mikhailov, Alexander M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 20th, 2007
Last updated Aug 22nd, 2020 - about 4 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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