Urban Pediatric Dental Pc
LBN: Urban Pediatric Dental Pc
Urban Pediatric Dental Pc is an health care organization with primary practice located at 128 Mott Street Suite 203, New York NY 10013-5575. The organization recently has 2 registered licenses in different health care specialties including Managed Care Organizations / Exclusive Provider Organization, Managed Care Organizations / Health Maintenance Organization. Managed Care Organizations / Exclusive Provider Organization is the primary health care specialty.
Urban Pediatric Dental Pc can be contacted via phone (212) 965-8113, or through Marn, Jessica Loo via phone (212) 965-8113.
Contact Information
Primary practice address
128 Mott Street Suite 203
New York NY 10013-5575
Phone: (212) 965-8113
Fax:
Website:
Authorized official contact:
Name: Marn, Jessica Loo Doctor of Dental Surgery (DDS)
Phone: (212) 965-8113
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Managed Care Organizations / Exclusive Provider Organization | 302F00000X | 0497501 | New York |
| Managed Care Organizations / Health Maintenance Organization | 302R00000X | 0535941 | New York |
Profile Details
| NPI number | 1699076083 |
|---|---|
| LBN Legal business name | Urban Pediatric Dental Pc |
| DBA Doing business as | |
| Authorized official | Marn, Jessica Loo Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 16th, 2010 |
| Last updated | Jan 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699076083 | NPPES |
| New York | MEDICAID | 02902734 |
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