Bertha D. Bravo Dentist Pc

LBN: Complete Dental Pc
Bertha D. Bravo Dentist Pc is an health care organization with primary practice located at 362 W Old Country Rd , Hicksville NY 11801-4113. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Complete Dental Pc can be contacted via phone (516) 933-3000, or through Bravo, Bertha Dina via phone (516) 933-3000.

Contact Information

Primary practice address
362 W Old Country Rd Hicksville NY 11801-4113
Phone: (516) 933-3000
Fax: (516) 933-3001
Website:
Map and Directions
Authorized official contact:
Name: Bravo, Bertha Dina
Phone: (516) 933-3000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 044278 New York

Profile Details

NPI number 1184896912
LBN Legal business name Complete Dental Pc
DBA Doing business as Bertha D. Bravo Dentist Pc
Authorized official Bravo, Bertha Dina
Entity Organization
Organization subpart 1 No
Enumeration date Apr 1st, 2008
Last updated Feb 3rd, 2021 - 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 1184896912 NPPES
New York MEDICAID 01353584

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