Fondak Dental Offices, P.C.

LBN: Fondak Dental Offices, P.C.
Fondak Dental Offices, P.C. is an health care organization with primary practice located at 33054 State Route 26 , Carthage NY 13619-8600. The organization recently has only one registered license in Dental Providers / Prosthodontics, which is considered as the primary health care specialty. Fondak Dental Offices, P.C. can be contacted via phone (315) 493-9393, or through Fondak, Jeffrey Theodore via phone (315) 493-9393.

Contact Information

Primary practice address
33054 State Route 26 Carthage NY 13619-8600
Fax: (315) 493-9394
Website:
Authorized official contact:
Name: Fondak, Jeffrey Theodore Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Prosthodontics 1223P0700X 033273 New York

Profile Details

NPI number 1659458677
LBN Legal business name Fondak Dental Offices, P.C.
DBA Doing business as Fondak Dental Offices, P.C.
Authorized official Fondak, Jeffrey Theodore Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 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 1659458677 NPPES
New York Other 1640915 UNITED CONCORDIA GRP NUM
New York Other 033273 UNITED CONCORDIA GRP NUM
New York Other 1342155 UNITED CONCORDIA GRP NUM
New York Other 1184730392 UNITED CONCORDIA GRP NUM

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