St Marks Dental Office

LBN: St Marks Dental Pc
St Marks Dental Office is an health care organization with primary practice located at 418 St Mark'S Place St Mark'S Dental, Staten Island NY 10301. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. St Marks Dental Pc can be contacted via phone (718) 720-6836, or through Genco, Mark Salvatore via phone (718) 720-6836.

Contact Information

Primary practice address
418 St Mark'S Place St Mark'S Dental Staten Island NY 10301
Phone: (718) 720-6836
Fax: (718) 720-6996
Website:
Map and Directions
Authorized official contact:
Name: Genco, Mark Salvatore Doctor of Dental Medicine (DMD)
Phone: (718) 720-6836

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 041072 New York

Profile Details

NPI number 1407866841
LBN Legal business name St Marks Dental Pc
DBA Doing business as St Marks Dental Office
Authorized official Genco, Mark Salvatore Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Sep 10th, 2008 - about 16 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 1407866841 NPPES
New York MEDICAID 01103644

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