Wyckoff Dental Pc

LBN: Wyckoff Dental Pc
Wyckoff Dental Pc is an health care organization with primary practice located at 321 Wyckoff Avenue , Ridgewood NY 11385. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Dental. Dental Providers / Dentist is the primary health care specialty. Wyckoff Dental Pc can be contacted via phone (718) 386-3288, or through Louis, Rufina via phone (718) 386-3288.

Contact Information

Primary practice address
321 Wyckoff Avenue Ridgewood NY 11385
Phone: (718) 386-3288
Fax: (718) 386-3540
Website:
Map and Directions
Authorized official contact:
Name: Louis, Rufina Doctor of Dental Surgery (DDS)
Phone: (718) 386-3288

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 043062
Ambulatory Health Care Facilities / Dental 261QD0000X 02310121

Profile Details

NPI number 1861463366
LBN Legal business name Wyckoff Dental Pc
DBA Doing business as
Authorized official Louis, Rufina Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 1st, 2006
Last updated Dec 28th, 2012 - about 13 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 1861463366 NPPES
New York MEDICAID 01812615
New York MEDICAID 02310121

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