Spa Dental, Pc

LBN: Spa Dental, Pc
Spa Dental, Pc is an health care organization with primary practice located at 68 Milton Avenue , Ballston Spa NY 12020. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Spa Dental, Pc can be contacted via phone (518) 885-1791, or through Hansen, James T via phone (518) 885-1791.

Contact Information

Primary practice address
68 Milton Avenue Ballston Spa NY 12020
Phone: (518) 885-1791
Fax: (518) 885-1147
Website:
Map and Directions
Authorized official contact:
Name: Hansen, James T Doctor of Dental Medicine (DMD)
Phone: (518) 885-1791

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 046659 New York

Profile Details

NPI number 1700135886
LBN Legal business name Spa Dental, Pc
DBA Doing business as
Authorized official Hansen, James T Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 5th, 2012
Last updated Sep 5th, 2012 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700135886 NPPES
New York MEDICAID 03275514

Popular Providers