Sand Lane Dental Pc

LBN: Sand Lane Dental Pc
Sand Lane Dental Pc is an health care organization with primary practice located at 128 Sand Ln , Staten Island NY 10305-4543. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sand Lane Dental Pc can be contacted via phone (718) 273-5006, or through Tkachuk, Andzhela P via phone (718) 273-5006.

Contact Information

Primary practice address
128 Sand Ln Staten Island NY 10305-4543
Phone: (718) 273-5006
Fax: (718) 273-2778
Website:
Map and Directions
Authorized official contact:
Name: Tkachuk, Andzhela P Doctor of Dental Surgery (DDS)
Phone: (718) 273-5006

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050679 New York

Profile Details

NPI number 1649318601
LBN Legal business name Sand Lane Dental Pc
DBA Doing business as
Authorized official Tkachuk, Andzhela P Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 2nd, 2007
Last updated Dec 22nd, 2010 - about 14 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 1649318601 NPPES
New York MEDICAID 02408771
New York MEDICAID 02410680

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