X Collado Dental Center

LBN: X Collado Dental Center
X Collado Dental Center is an health care organization with primary practice located at 10105 77Th St , Ozone Park NY 11416-1904. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. X Collado Dental Center can be contacted via phone (718) 323-1288, or through Collado-Medina, Juana X via phone (718) 323-1288.

Contact Information

Primary practice address
10105 77Th St Ozone Park NY 11416-1904
Phone: (718) 323-1288
Fax: (718) 323-0291
Website:
Map and Directions
Authorized official contact:
Name: Collado-Medina, Juana X Doctor of Dental Surgery (DDS)
Phone: (718) 323-1288

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 045798-1 New York

Profile Details

NPI number 1649506353
LBN Legal business name X Collado Dental Center
DBA Doing business as
Authorized official Collado-Medina, Juana X Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 30th, 2009
Last updated Oct 30th, 2009 - about 17 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 1649506353 NPPES
New York MEDICAID 01558754

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