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Contact Information

FAMILY DENTISTRY
489 WESTERN AVE
ALBANY, NY12203
 Phone: 518-438-8161
 Fax: 518-438-8123
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FAMILY DENTISTRY

NPI Number 1053582908
LBN Legal business name FAMILY DENTISTRY
Authorized official KENNETH KELMAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 03/19/2008
Last updated 07/17/2008 - About 18 years ago
Identifiers
NY License # 026473-1
NY Medicaid 00393031
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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