Smallberg, Jordana Diane

Smallberg, Jordana Diane is an individual health care provider with primary practice located at 330 Winthrop St First Floor, Westbury NY 11590-3388. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / Dentist is her primary health care specialty. Smallberg, Jordana Diane can be contacted via phone (516) 997-3636.

Contact Information

Primary practice address
330 Winthrop St First Floor Westbury NY 11590-3388
Phone: (516) 997-3636
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 053021 New York
Dental Providers / General Practice 1223G0001X 053021 New York

Profile Details

NPI number 1992904437
LBN Legal business name Smallberg, Jordana Diane
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2007
Last updated May 3rd, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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