Blain Dentistry Pc in Long Island City - Dentist

Blain Dentistry Pc - NPI 1528173531

Blain Dentistry Pc is a Dentist in Long Island City, New York. Blain Dentistry Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Blain Dentistry Pc is 1528173531. The last update date is 2008-03-15.

Blain Dentistry Pc's current location address is 1311 Jackson Ave, Long Island City, New York. You can contact this provider via phone number 5162825100. The mailing address for Blain Dentistry Pc is 1311 Jackson Ave, Long Island City, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Blain Dentistry Pc
Address 1311 Jackson Ave, Long Island City, New York
Phone Number 5162825100
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Blain Majorie Carla
Credentials DMD
Telephone Number 5162825100

NPI Number Detail

NPI Number 1528173531
Provider Enumeration Date 2006-08-20
Last Updated Date 2008-03-15

Provider Mailing Address Detail

Address 1311 Jackson Ave
City Long Island City
State New York (NY)
Post Code 111015436
Phone Number 5162825100
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 50759
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
242008 NY --

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FAQs about Blain Dentistry Pc

What is the unique identifier code issued to Blain Dentistry Pc by the Centers for Medicare & Medicaid Services (CMS)?

The Blain Dentistry Pc has been assigned the NPI (National Provider Identifier) 1528173531. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Blain Dentistry Pc's facilities are geographically located?

The facilities of Blain Dentistry Pc are physically situated at the following location: 1311 Jackson Ave, Long Island City, NY, 111015436.

What is the Blain Dentistry Pc's specialty and taxonomy code?

The Blain Dentistry Pc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1528173531 to Blain Dentistry Pc?

The Centers for Medicare & Medicaid Services originally issued the 1528173531 to Blain Dentistry Pc on 2006-08-20.

As of what date was the information pertaining to Blain Dentistry Pc, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Blain Dentistry Pc, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-03-15.

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