Staten Island Mall Dental, P.C.

LBN: Staten Island Mall Dental, P.C.
Staten Island Mall Dental, P.C. is an health care organization with primary practice located at 2655 Richmond Avenue 2220, Staten Island NY 10314. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Staten Island Mall Dental, P.C. can be contacted via phone (718) 982-5500, or through Krasnov, Ross via phone (718) 982-5500.

Contact Information

Primary practice address
2655 Richmond Avenue 2220 Staten Island NY 10314
Phone: (718) 982-5500
Fax: (718) 982-5554
Website:
Map and Directions
Authorized official contact:
Name: Krasnov, Ross Doctor of Dental Surgery (DDS)
Phone: (718) 982-5500

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 046-043 New York

Profile Details

NPI number 1013139237
LBN Legal business name Staten Island Mall Dental, P.C.
DBA Doing business as
Authorized official Krasnov, Ross Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 5 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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