Raio Dental, Pc

LBN: Raio Dental, Pc
Raio Dental, Pc is an health care organization with primary practice located at 1739 N Ocean Ave Suite D, Medford NY 11763-2683. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Raio Dental, Pc can be contacted via phone (631) 447-8073, or through Raio, Dean via phone (631) 447-8073.

Contact Information

Primary practice address
1739 N Ocean Ave Suite D Medford NY 11763-2683
Phone: (631) 447-8073
Fax: (631) 447-8026
Website:
Map and Directions
Authorized official contact:
Name: Raio, Dean Doctor of Dental Surgery (DDS)
Phone: (631) 447-8073

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 046555 New York

Profile Details

NPI number 1629365846
LBN Legal business name Raio Dental, Pc
DBA Doing business as
Authorized official Raio, Dean Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 8th, 2011
Last updated Jul 8th, 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 1629365846 NPPES
New York MEDICAID 01693241

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