Reconstructive Dentistry, Llc
LBN: Reconstructive Dentistry, Llc
Reconstructive Dentistry, Llc is an health care organization with primary practice located at 327 N Washington Ave Ste 609 , Scranton PA 18503-1539. The organization recently has only one registered license in Ambulatory Health Care Facilities / Ambulatory Surgical, which is considered as the primary health care specialty.
Reconstructive Dentistry, Llc can be contacted via phone (570) 961-6030, or through Hazzouri, David via phone (570) 961-6030.
Contact Information
Primary practice address
327 N Washington Ave Ste 609
Scranton PA 18503-1539
Phone: (570) 961-6030
Fax:
Website:
Authorized official contact:
Name: Hazzouri, David Doctor of Dental Medicine (DMD)
Phone: (570) 961-6030
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Ambulatory Surgical | 261QA1903X | 112193 | Pennsylvania |
Profile Details
| NPI number | 1588019095 |
|---|---|
| LBN Legal business name | Reconstructive Dentistry, Llc |
| DBA Doing business as | |
| Authorized official | Hazzouri, David Doctor of Dental Medicine (DMD) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | May 3rd, 2016 |
| Last updated | May 3rd, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588019095 | NPPES |
| Pennsylvania | Other | #112193 | ACCREDITATION ASSOCIATION FOR AMBULATORY HEALTH CARE, INC. #112193 |
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