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Contact Information

BLUESTAR DENTAL CARE
2110 ROCKAWAY PKWY
BROOKLYN, NY11236-5802
 Phone: 718-209-8500
 Fax: 718-942-4582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
 

Prosthodontics

1223P0700X
Indicates primary specialty

NPI Profile & details for BLUESTAR DENTAL CARE

NPI # 1720156870
LBN Legal business name BLUESTAR DENTAL CARE
Authorized official MICHAEL DAGOSTINO - (DIRECTOR OF DENTAL AND ORAL MED)
Entity Organization
Organization subpart 1 No
Enumeration date 11/30/2006
Last updated 03/20/2008 - About 18 years ago
Identifiers
NY License # 047926-1
NY License # 049803-1
NY License # 049832-1
NY Medicaid 02769157
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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