Wyckoff Dental Pc in Ridgewood - Dentist

Wyckoff Dental Pc - NPI 1861463366

Wyckoff Dental Pc is a Dentist in Ridgewood, New York. Wyckoff Dental Pc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wyckoff Dental Pc is 1861463366. The last update date is 2012-12-28.

Wyckoff Dental Pc's current location address is 321 Wyckoff Avenue, Ridgewood, New York. You can contact this provider via phone number 7183863288 and fax number 7183863540. The mailing address for Wyckoff Dental Pc is 321 Wyckoff Avenue, Ridgewood, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wyckoff Dental Pc
Address 321 Wyckoff Avenue, Ridgewood, New York
Phone Number 7183863288
Fax Number 7183863540
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Louis Rufina
Credentials DDS
Telephone Number 7183863288

NPI Number Detail

NPI Number 1861463366
Provider Enumeration Date 2006-02-01
Last Updated Date 2012-12-28

Provider Mailing Address Detail

Address 321 Wyckoff Avenue
City Ridgewood
State New York (NY)
Post Code 11385
Phone Number 7183863288
Fax Number 7183863540

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 43062
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
1812615 NY --
2310121 NY --

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FAQs about Wyckoff Dental Pc

What is the unique 10-digit identifier code issued to Wyckoff Dental Pc by the Centers for Medicare & Medicaid Services?

The Wyckoff Dental Pc has been assigned the NPI (National Provider Identifier) 1861463366 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Can you provide the Wyckoff Dental Pc's physical address?

The Wyckoff Dental Pc is physically located at 321 Wyckoff Avenue, in the city of Ridgewood, NY, with the postal code 11385.

What is Wyckoff Dental Pc's area of expertise and its corresponding taxonomy classification?

The Wyckoff Dental Pc's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services assign the 1861463366 to Wyckoff Dental Pc?

The Centers for Medicare & Medicaid Services assigned the 1861463366 to Wyckoff Dental Pc on 2006-02-01.

When was the information regarding Wyckoff Dental Pc most recently updated?

The details pertaining to the Wyckoff Dental Pc, including its address, specialty, and other relevant information, were last refreshed on 2012-12-28.

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