Executive Dental Care Pc in Brooklyn - Preferred Provider Organization
Executive Dental Care Pc - NPI 1073788717
Executive Dental Care Pc is a Preferred Provider Organization in Brooklyn, New York. Executive Dental Care Pc practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Executive Dental Care Pc is 1073788717. The last update date is 2008-04-24.
Executive Dental Care Pc's current location address is 8011 Fifth Avenue, Brooklyn, New York. You can contact this provider via phone number 7187486847. The mailing address for Executive Dental Care Pc is 8011 Fifth Avenue, Brooklyn, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Executive Dental Care Pc |
|---|---|
| Address | 8011 Fifth Avenue, Brooklyn, New York |
| Phone Number | 7187486847 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | GENERAL DE |
|---|---|
| Authorized Official Name | Wallett M James |
| Credentials | D.D.S. |
| Telephone Number | 7187486847 |
NPI Number Detail
| NPI Number | 1073788717 |
|---|---|
| Provider Enumeration Date | 2008-04-24 |
| Last Updated Date | 2008-04-24 |
Provider Mailing Address Detail
| Address | 8011 Fifth Avenue |
|---|---|
| City | Brooklyn |
| State | New York (NY) |
| Post Code | 11209 |
| Phone Number | 7187486847 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 36639 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 759435 | NY | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Executive Dental Care Pc by the Centers for Medicare & Medicaid Services?
The Executive Dental Care Pc has been issued the NPI (National Provider Identifier) 1073788717 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Executive Dental Care Pc is physically located?
The Executive Dental Care Pc is physically situated at the following address: 8011 Fifth Avenue, Brooklyn, NY, 11209.
What is Executive Dental Care Pc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Executive Dental Care Pc is Preferred Provider Organization, and the corresponding taxonomy classification code for this specialized field is 305R00000X.
When was the Executive Dental Care Pc's 1073788717 issued?
The Executive Dental Care Pc's 1073788717 was issued on 2008-04-24.
When was the information pertaining to Executive Dental Care Pc most recently updated or revised?
The details related to Executive Dental Care Pc, including its address, specialty, and other relevant information, were last updated or revised on 2008-04-24.
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