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Contact Information

PROHEALTH DENTAL PLLC
5011 VERNON BLVD
LONG ISLAND CITY, NY11101
 Phone: 718-650-5566
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
 

Endodontics

1223E0200X
 

Pediatric Dentistry

1223P0221X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for PROHEALTH DENTAL PLLC

NPI Number 1003373903
LBN Legal business name PROHEALTH DENTAL PLLC
Authorized official NATALYA KOROBEYNYK - (RCM)
Entity Organization
Organization subpart 1 Yes
Enumeration date 02/27/2019
Last updated 02/21/2023 - About 3 years ago
Identifiers n/a
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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