Roosevelt Dental Care Iii P.C.

LBN: Roosevelt Dental Care Iii P.C.
Roosevelt Dental Care Iii P.C. is an health care organization with primary practice located at 10324 Roosevelt Ave Suite 200, Corona NY 11368-2330. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Roosevelt Dental Care Iii P.C. can be contacted via phone (718) 205-7709, or through Ostiago, Edwin via phone (718) 205-7709.

Contact Information

Primary practice address
10324 Roosevelt Ave Suite 200 Corona NY 11368-2330
Phone: (718) 205-7709
Fax: (718) 205-7718
Website:
Map and Directions
Authorized official contact:
Name: Ostiago, Edwin Doctor of Dental Surgery (DDS)
Phone: (718) 205-7709

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 051025 New York

Profile Details

NPI number 1437327616
LBN Legal business name Roosevelt Dental Care Iii P.C.
DBA Doing business as
Authorized official Ostiago, Edwin Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2008
Last updated Feb 11th, 2008 - about 18 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 1437327616 NPPES
New York MEDICAID 02907959

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