S T Dental Service Pc

LBN: S T Dental Service Pc
S T Dental Service Pc is an health care organization with primary practice located at 1908 Mott Ave , Far Rockaway NY 11691-4101. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. S T Dental Service Pc can be contacted via phone (718) 327-8816, or through Terentieva, Svetlana via phone (718) 327-3816.

Contact Information

Primary practice address
1908 Mott Ave Far Rockaway NY 11691-4101
Phone: (718) 327-8816
Fax: (718) 327-5197
Website:
Map and Directions
Authorized official contact:
Name: Terentieva, Svetlana Doctor of Dental Surgery (DDS)
Phone: (718) 327-3816

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 049077 New York

Profile Details

NPI number 1679534119
LBN Legal business name S T Dental Service Pc
DBA Doing business as
Authorized official Terentieva, Svetlana Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 31st, 2006
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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Identifiers

StateTypeNumberIssuer
All States NPI 1679534119 NPPES
New York MEDICAID 02110098
New York Other 9176812

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