Great Smile Dental Services Pc

LBN: Great Smile Dental Services Pc
Great Smile Dental Services Pc is an health care organization with primary practice located at 629 W 185Th St 4Th Floor, New York NY 10033-3102. The organization recently has only one registered license in Suppliers / Customized Equipment, which is considered as the primary health care specialty. Great Smile Dental Services Pc can be contacted via phone (212) 795-9519, or through Martinez, Franklin L via phone (212) 795-9519.

Contact Information

Primary practice address
629 W 185Th St 4Th Floor New York NY 10033-3102
Fax: (646) 353-6482
Website:
Authorized official contact:
Name: Martinez, Franklin L Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Suppliers / Customized Equipment 332BC3200X 050561-1 New York

Profile Details

NPI number 1275919656
LBN Legal business name Great Smile Dental Services Pc
DBA Doing business as
Authorized official Martinez, Franklin L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 7th, 2015
Last updated Aug 7th, 2015 - about 11 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 1275919656 NPPES
New York MEDICAID 02387915

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