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Contact Information

2090 DENTAL PC
2090 ADAM CLAYTON POWELL JR BLVD
NEW YORK, NY10027-4990
 Phone: 212-749-2222
 Fax: 212-749-2220
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Dental Hygienist

124Q00000X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
Indicates primary specialty

NPI Profile & details for 2090 DENTAL PC

NPI # 1891185245
LBN Legal business name 2090 DENTAL PC
Authorized official PAUL SYMEONIDES - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/23/2015
Last updated 01/23/2015 - About 11 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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