82Nd Dental Pllc

LBN: 82Nd Dental Pllc
82Nd Dental Pllc is an health care organization with primary practice located at 8201 Roosevelt Ave 2Nd Floor, Jackson Heights NY 11372-7034. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 82Nd Dental Pllc can be contacted via phone (718) 476-5555, or through Khalili, Faramarz via phone (718) 476-5555.

Contact Information

Primary practice address
8201 Roosevelt Ave 2Nd Floor Jackson Heights NY 11372-7034
Phone: (718) 476-5555
Fax: (718) 476-6666
Website:
Map and Directions
Authorized official contact:
Name: Khalili, Faramarz Doctor of Dental Surgery (DDS)
Phone: (718) 476-5555

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1205086147
LBN Legal business name 82Nd Dental Pllc
DBA Doing business as
Authorized official Khalili, Faramarz Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 29th, 2008
Last updated Sep 29th, 2008 - about 18 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 1205086147 NPPES
New York MEDICAID 01804719

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