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Contact Information

PURE DENTAL OF LONG ISLAND PC
496 COUNTY ROAD 111
BUILDING F
MANORVILLE, NY11949
 Phone: 631-929-5855
 Fax: 631-886-1971
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PURE DENTAL OF LONG ISLAND PC

NPI # 1114133345
LBN Legal business name PURE DENTAL OF LONG ISLAND PC
Authorized official PAIGE OBERMAN - (INSURANCE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/15/2007
Last updated 11/13/2023 - 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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