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Contact Information

PHILMONT FAMILY DENTISTRY,PLLC.
1078 ROUTE 217
PHILMONT, NY12565
 Phone: 518-672-4077
 Fax: 518-672-4079
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for PHILMONT FAMILY DENTISTRY,PLLC.

NPI # 1285912436
LBN Legal business name PHILMONT FAMILY DENTISTRY,PLLC.
Authorized official TAREQ KHALIFEH - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/21/2011
Last updated 07/21/2011 - About 15 years ago
Identifiers
NY License # 0506461
NY Medicaid 02592221
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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