Pesantes Dental Pc

LBN: Pesantes Dental Pc
Pesantes Dental Pc is an health care organization with primary practice located at 11109 Jamaica Ave , Richmond Hill NY 11418-2323. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Pesantes Dental Pc can be contacted via phone (718) 850-1011, or through Pesantes, Juan J via phone (718) 850-1011.

Contact Information

Primary practice address
11109 Jamaica Ave Richmond Hill NY 11418-2323
Phone: (718) 850-1011
Fax: (718) 850-6086
Website:
Map and Directions
Authorized official contact:
Name: Pesantes, Juan J Doctor of Dental Surgery (DDS)
Phone: (718) 850-1011

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 046461 New York

Profile Details

NPI number 1245525351
LBN Legal business name Pesantes Dental Pc
DBA Doing business as
Authorized official Pesantes, Juan J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 16th, 2011
Last updated Jun 16th, 2011 - about 15 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 1245525351 NPPES
New York MEDICAID 01738614

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