Star Dental Care Ii Pc

LBN: Star Dental Care Ii Pc
Star Dental Care Ii Pc is an health care organization with primary practice located at 1528 Main St , Port Jefferson Station NY 11777-2236. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Star Dental Care Ii Pc can be contacted via phone (631) 473-1338, or through Marchawala, Shefali via phone (631) 473-1338.

Contact Information

Primary practice address
1528 Main St Port Jefferson Station NY 11777-2236
Phone: (631) 473-1338
Fax: (631) 473-1390
Website:
Map and Directions
Authorized official contact:
Name: Marchawala, Shefali Doctor of Dental Surgery (DDS)
Phone: (631) 473-1338

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 047506-1 New York

Profile Details

NPI number 1720328115
LBN Legal business name Star Dental Care Ii Pc
DBA Doing business as
Authorized official Marchawala, Shefali Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 21st, 2013
Last updated Feb 21st, 2013 - about 11 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 1720328115 NPPES
New York MEDICAID 01869305

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