Hollis Advanced Dental Care P.C.
LBN: Hollis Advanced Dental Care P.C.
Hollis Advanced Dental Care P.C. is an health care organization with primary practice located at 19002 Jamaica Ave 2 Floor, Hollis NY 11423-2516. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / Dentist is the primary health care specialty.
Hollis Advanced Dental Care P.C. can be contacted via phone (718) 454-7418, or through Katayev, Benjamin V via phone (718) 454-7418.
Contact Information
Primary practice address
19002 Jamaica Ave 2 Floor
Hollis NY 11423-2516
Phone: (718) 454-7418
Fax: (718) 217-2657
Website:
Authorized official contact:
Name: Katayev, Benjamin V Doctor of Dental Surgery (DDS)
Phone: (718) 454-7418
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | New York | |
| Dental Providers / Periodontics | 1223P0300X | New York | |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | New York |
Profile Details
| NPI number | 1699922088 |
|---|---|
| LBN Legal business name | Hollis Advanced Dental Care P.C. |
| DBA Doing business as | |
| Authorized official | Katayev, Benjamin V Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 27th, 2008 |
| Last updated | Aug 27th, 2008 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699922088 | NPPES |
| New York | MEDICAID | 011896900 | |
| New York | MEDICAID | 02587795 |
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