Mda Dental Group

LBN: Mda Dental Group
Mda Dental Group is an health care organization with primary practice located at 1995 Broadway Ste 200 , New York NY 10023-5882. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Mda Dental Group can be contacted via phone (212) 247-2330, or through Liechtung, Marc Mordecai via phone (212) 247-2330.

Contact Information

Primary practice address
1995 Broadway Ste 200 New York NY 10023-5882
Phone: (212) 247-2330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Liechtung, Marc Mordecai
Phone: (212) 247-2330

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 040754-1 New York

Profile Details

NPI number 1619213436
LBN Legal business name Mda Dental Group
DBA Doing business as
Authorized official Liechtung, Marc Mordecai
Entity Organization
Organization subpart 1 No
Enumeration date Dec 26th, 2012
Last updated Dec 26th, 2012 - about 14 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.

Request for update

Popular Providers