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Contact Information

21ST CENTURYDENTAL COSMETIC HEALTH P.C
738 BROADWAY
2ND FLOOR
BROOKLYN, NY11206-4403
 Phone: 718-384-2662
 Fax: 718-384-6408
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 21ST CENTURYDENTAL COSMETIC HEALTH P.C

NPI # 1720357726
LBN Legal business name 21ST CENTURYDENTAL COSMETIC HEALTH P.C
Authorized official SHAHRYAR SEDGH - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/20/2011
Last updated 12/20/2011 - About 14 years ago
Identifiers
NY License # 043066
NY License # 046985
NY License # 047141
NY Medicaid 1346470192
NY Medicaid 1508919820
NY Medicaid 1851506596
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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