Professional Dental Office Pc

LBN: Professional Dental Office Pc
Professional Dental Office Pc is an health care organization with primary practice located at 167 Rivington St , New York NY 10002. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Professional Dental Office Pc can be contacted via phone (212) 673-9367, or through Diaz, Rosa I via phone (718) 602-5200.

Contact Information

Primary practice address
167 Rivington St New York NY 10002
Phone: (212) 673-9367
Fax: (212) 673-9367
Website:
Map and Directions
Authorized official contact:
Name: Diaz, Rosa I Doctor of Dental Surgery (DDS)
Phone: (718) 602-5200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 0484311 New York

Profile Details

NPI number 1457320301
LBN Legal business name Professional Dental Office Pc
DBA Doing business as
Authorized official Diaz, Rosa I Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1457320301 NPPES
New York MEDICAID 01979033

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