Your Smile Dental Of Hauppauge

LBN: Your Smile Dental Of Hauppauge
Your Smile Dental Of Hauppauge is an health care organization with primary practice located at 521 Route 111 Ste 106 , Hauppauge NY 11788-4358. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Your Smile Dental Of Hauppauge can be contacted via phone (631) 361-6605, or through Sandman, Lisa via phone (631) 413-2912.

Contact Information

Primary practice address
521 Route 111 Ste 106 Hauppauge NY 11788-4358
Phone: (631) 361-6605
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sandman, Lisa
Phone: (631) 413-2912

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1053827782
LBN Legal business name Your Smile Dental Of Hauppauge
DBA Doing business as
Authorized official Sandman, Lisa
Entity Organization
Organization subpart 1 No
Enumeration date Dec 18th, 2017
Last updated Oct 1st, 2018 - about 7 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 1053827782 NPPES
New York MEDICAID 03269418

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