Suffolk Pediatric Dentistry Pc

LBN: Suffolk Pediatric Dentistry Pc
Suffolk Pediatric Dentistry Pc is an health care organization with primary practice located at 8 Medical Drive , Port Jefferson Station NY 11776. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Suffolk Pediatric Dentistry Pc can be contacted via phone (631) 928-8585, or through Serino, Robert via phone (631) 928-8585.

Contact Information

Primary practice address
8 Medical Drive Port Jefferson Station NY 11776
Phone: (631) 928-8585
Fax: (631) 928-8861
Website:
Map and Directions
Authorized official contact:
Name: Serino, Robert Doctor of Dental Surgery (DDS)
Phone: (631) 928-8585

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1609915883
LBN Legal business name Suffolk Pediatric Dentistry Pc
DBA Doing business as
Authorized official Serino, Robert Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 2007
Last updated Oct 5th, 2016 - about 8 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 1609915883 NPPES
New York MEDICAID 01864713

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