Zdep Dds & Zdep Dds Pc

LBN: Zdep Dds & Shallish Dmd Pc
Zdep Dds & Zdep Dds Pc is an health care organization with primary practice located at 3930 E Genesee St , Syracuse NY 13214-1934. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Zdep Dds & Shallish Dmd Pc can be contacted via phone (315) 471-6188, or through Zdep, Steven R via phone (315) 471-6188.

Contact Information

Primary practice address
3930 E Genesee St Syracuse NY 13214-1934
Phone: (315) 471-6188
Fax: (315) 471-0271
Website:
Map and Directions
Authorized official contact:
Name: Zdep, Steven R Doctor of Dental Surgery (DDS)
Phone: (315) 471-6188

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 33833 New York

Profile Details

NPI number 1174534440
LBN Legal business name Zdep Dds & Shallish Dmd Pc
DBA Doing business as Zdep Dds & Zdep Dds Pc
Authorized official Zdep, Steven R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2006
Last updated Sep 6th, 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 1174534440 NPPES
New York MEDICAID 03083410

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