Jerome Dental Pc is a Dental in Brooklyn, New York. Jerome Dental Pc practices all healthcare services and medical treatments related to Dental. The NPI Number for Jerome Dental Pc is 1487797338. The last update date is 2007-07-15.
Jerome Dental Pc's current location address is 1810 Jerome Ave, Brooklyn, New York. You can contact this provider via phone number 7186152030 and fax number 7186152030. The mailing address for Jerome Dental Pc is 1810 Jerome Ave, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Jerome Dental Pc |
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Address | 1810 Jerome Ave, Brooklyn, New York |
Phone Number | 7186152030 |
Fax Number | 7186152030 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | EXECUTIVE |
---|---|
Authorized Official Name | Gubenko Nataliya |
Credentials | DDS |
Telephone Number | 7186152030 |
NPI Number Detail
NPI Number | 1487797338 |
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Provider Enumeration Date | 2007-02-14 |
Last Updated Date | 2007-07-15 |
Provider Mailing Address Detail
Address | 1810 Jerome Ave |
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City | Brooklyn |
State | New York (NY) |
Post Code | 112353621 |
Phone Number | 7186152030 |
Fax Number | 7186152030 |
Provider's Primary Taxonomy Detail
Speciality | Dental |
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Taxonomy | 261Qd0000X |
Licence No | 46347 |
Definition: Provides general and specialized dental care and oral surgery. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1663405 | NY | -- |
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What is the unique 10-digit identification code issued to Jerome Dental Pc by the Centers for Medicare & Medicaid Services?
The Jerome Dental Pc has been assigned the NPI (National Provider Identifier) 1487797338 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Jerome Dental Pc?
The Jerome Dental Pc is situated at 1810 Jerome Ave, in the city of Brooklyn, state of NY, with the zip code 112353621.
What is Jerome Dental Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jerome Dental Pc is Dental, and the corresponding taxonomy classification code for this specialized field is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1487797338 to Jerome Dental Pc?
The Centers for Medicare & Medicaid Services originally issued the 1487797338 to Jerome Dental Pc on 2007-02-14.
As of what date were the details pertaining to Jerome Dental Pc last refreshed?
The information related to the Jerome Dental Pc, including its address, specialty, and other relevant details, was last updated on 2007-07-15.
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