Long Beach Imaging Center Llc in Long Beach - Dentist
Long Beach Imaging Center Llc - NPI 1083891667
Long Beach Imaging Center Llc is a Dentist in Long Beach, New York. Long Beach Imaging Center Llc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Long Beach Imaging Center Llc is 1083891667. The last update date is 2008-01-26.
Long Beach Imaging Center Llc's current location address is 120 W Park Ave, Long Beach, New York. You can contact this provider via phone number 5164310727. The mailing address for Long Beach Imaging Center Llc is 120 W Park Ave, Long Beach, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Long Beach Imaging Center Llc |
|---|---|
| Address | 120 W Park Ave, Long Beach, New York |
| Phone Number | 5164310727 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Shanock Glen |
| Credentials | DDS |
| Telephone Number | 5164310727 |
NPI Number Detail
| NPI Number | 1083891667 |
|---|---|
| Provider Enumeration Date | 2008-01-26 |
| Last Updated Date | 2008-01-26 |
Provider Mailing Address Detail
| Address | 120 W Park Ave |
|---|---|
| City | Long Beach |
| State | New York (NY) |
| Post Code | 115613301 |
| Phone Number | 5164310727 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the Long Beach Imaging Center Llc's unique identification number?
The Long Beach Imaging Center Llc has been assigned the NPI (National Provider Identifier) Number 1083891667 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Long Beach Imaging Center Llc's facilities are situated?
The facilities of Long Beach Imaging Center Llc are physically located at the following address: 120 W Park Ave, Long Beach, NY, 115613301.
What is the Long Beach Imaging Center Llc's area of specialization and corresponding taxonomy classification?
The Long Beach Imaging Center Llc's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Long Beach Imaging Center Llc receive its 1083891667 assignment from the Centers for Medicare & Medicaid Services?
The Long Beach Imaging Center Llc was assigned its 1083891667 by the Centers for Medicare & Medicaid Services on 2008-01-26.
As of what date were the details pertaining to Long Beach Imaging Center Llc last refreshed?
The information related to the Long Beach Imaging Center Llc, including its address, specialty, and other relevant details, was last updated on 2008-01-26.