Pena, Hector

Pena, Hector is an individual health care provider with primary practice located at 3255 83Rd St Ground Floor, East Elmhurst NY 11370-2007. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is his primary health care specialty. Pena, Hector can be contacted via phone (718) 313-0613.

Contact Information

Primary practice address
3255 83Rd St Ground Floor East Elmhurst NY 11370-2007
Phone: (718) 313-0613
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 050912 New York
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 050912 New York
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 11343 Connecticut

Profile Details

NPI number 1801819685
LBN Legal business name Pena, Hector
Credentials Doctor of Dental Medicine (DMD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 13th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801819685 NPPES
New York MEDICAID 02420111
New York Other 9176251

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