Bronx River Dental P.C.

LBN: Bronx River Dental P.C.
Bronx River Dental P.C. is an health care organization with primary practice located at 3000 Bronx Park E , Bronx NY 10467-6711. The organization recently has only one registered license in Dental Providers / Dental Therapist, which is considered as the primary health care specialty. Bronx River Dental P.C. can be contacted via phone (718) 655-0075, or through Fattakhov, Ezro via phone (718) 456-2626.

Contact Information

Primary practice address
3000 Bronx Park E Bronx NY 10467-6711
Phone: (718) 655-0075
Fax: (718) 708-6966
Website:
Map and Directions
Authorized official contact:
Name: Fattakhov, Ezro Doctor of Dental Surgery (DDS)
Phone: (718) 456-2626

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Therapist 125J00000X 046846 New York

Profile Details

NPI number 1336487131
LBN Legal business name Bronx River Dental P.C.
DBA Doing business as
Authorized official Fattakhov, Ezro Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 29th, 2013
Last updated Nov 14th, 2013 - 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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