Wyckoff Heights Dental Services P.C.

LBN: Wyckoff Heights Dental Services P.C.
Wyckoff Heights Dental Services P.C. is an health care organization with primary practice located at 374 Stockholm St , Brooklyn NY 11237-4006. The organization recently has 8 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dentist Anesthesiologist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Wyckoff Heights Dental Services P.C. can be contacted via phone (718) 963-7174, or through Gache, Vali via phone (718) 240-1795.

Contact Information

Primary practice address
374 Stockholm St Brooklyn NY 11237-4006
Phone: (718) 963-7174
Fax: (718) 302-6744
Website:
Map and Directions
Authorized official contact:
Name: Gache, Vali
Phone: (718) 240-1795

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Dentist Anesthesiologist 1223D0004X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1447298070
LBN Legal business name Wyckoff Heights Dental Services P.C.
DBA Doing business as
Authorized official Gache, Vali
Entity Organization
Organization subpart 1 No
Enumeration date Jun 4th, 2006
Last updated Apr 3rd, 2019 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447298070 NPPES
New York MEDICAID 01894164

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