Roosevelt Dental Care Iii P.C. in Corona - General Practice

Roosevelt Dental Care Iii P.C. - NPI 1437327616

Roosevelt Dental Care Iii P.C. is a General Practice in Corona, New York. Roosevelt Dental Care Iii P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Roosevelt Dental Care Iii P.C. is 1437327616. The last update date is 2008-02-11.

Roosevelt Dental Care Iii P.C.'s current location address is 10324 Roosevelt Ave, Corona, New York. You can contact this provider via phone number 7182057709 and fax number 7182057718. The mailing address for Roosevelt Dental Care Iii P.C. is 10324 Roosevelt Ave, Corona, New York. To know further, please read the information below!

Provider Profile Detail

Provider Organization Roosevelt Dental Care Iii P.C.
Address 10324 Roosevelt Ave, Corona, New York
Phone Number 7182057709
Fax Number 7182057718
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Ostiago Edwin
Credentials D.D.S.
Telephone Number 7182057709

NPI Number Detail

NPI Number 1437327616
Provider Enumeration Date 2008-02-11
Last Updated Date 2008-02-11

Provider Mailing Address Detail

Address 10324 Roosevelt Ave
City Corona
State New York (NY)
Post Code 113682330
Phone Number 7182057709
Fax Number 7182057718

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 51025
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2907959 NY --

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FAQs about Roosevelt Dental Care Iii P.C.

What is the unique 10-digit identification code assigned to Roosevelt Dental Care Iii P.C. by the Centers for Medicare & Medicaid Services?

The Roosevelt Dental Care Iii P.C. has been issued the NPI (National Provider Identifier) 1437327616, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Roosevelt Dental Care Iii P.C. is physically located?

The Roosevelt Dental Care Iii P.C. is situated at the following address: 10324 Roosevelt Ave, Corona, NY 113682330.

What is Roosevelt Dental Care Iii P.C.'s specialized field of practice, and what is the corresponding taxonomy classification code?

The Roosevelt Dental Care Iii P.C.'s area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

When was the Roosevelt Dental Care Iii P.C.'s 1437327616 issued?

The Roosevelt Dental Care Iii P.C.'s 1437327616 was issued on 2008-02-11.

When was the information pertaining to Roosevelt Dental Care Iii P.C. most recently updated or revised?

The details related to Roosevelt Dental Care Iii P.C., including its address, specialty, and other relevant information, were last updated or revised on 2008-02-11.

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