Corona Family Dental Center

LBN: Corona Family Dental Assoc Pc
Corona Family Dental Center is an health care organization with primary practice located at 3766 Junction Boulevard , Corona NY 11368. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Corona Family Dental Assoc Pc can be contacted via phone (718) 898-1300, or through Sutton, Edward J via phone (718) 645-3000.

Contact Information

Primary practice address
3766 Junction Boulevard Corona NY 11368
Phone: (718) 898-1300
Fax: (718) 533-8644
Website:
Map and Directions
Authorized official contact:
Name: Sutton, Edward J Doctor of Dental Surgery (DDS)
Phone: (718) 645-3000

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1841389046
LBN Legal business name Corona Family Dental Assoc Pc
DBA Doing business as Corona Family Dental Center
Authorized official Sutton, Edward J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1841389046 NPPES
New York MEDICAID 02419670

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