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Contact Information

W DENTAL
706 ST. NICHOLAS AVE
NEW YORK, NY10031
 Phone: 212-939-9399
 Fax: 212-939-9366
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

208D00000X 99 Physician/Undefined Physician type[6]
Indicates primary specialty

NPI Profile & details for W DENTAL

NPI Number 1417374182
LBN Legal business name W DENTAL
Authorized official GEORGE WILLIAMS - (D.M.D.)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2014
Last updated 03/19/2014 - About 12 years ago
Identifiers
NY License # 36042-1
NY Medicaid 02578545
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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