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J. GHARDA DENTAL P.L.L.C. NPI 1114490067


NPI Information

NPI: 1114490067
Provider Name: J. GHARDA DENTAL P.L.L.C.

Doing Business As: PRIME DENTAL PARTNERS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
2614 AVENUE U
BROOKLYN, NY
ZIP 11229
Phone: (718) 743-6680
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J. GHARDA DENTAL P.L.L.C. is a general practice dentist in Brooklyn, NY. The provider is 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. J. GHARDA DENTAL P.L.L.C. NPI is 1114490067. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Prime Dental Partners.

The provider's business location address is:

2614 AVENUE U
BROOKLYN, NY
ZIP 11229-010
Phone: (718) 743-6680
Fax: (718) 743-0729

The provider's authorized official is Jamshed Gharda .
The authorized official title is Ceo and has the following contact phone number (718) 743-6680.

The enumeration date for this NPI number is 1/3/2019 and was last updated on 8/15/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
101892328MEDICAIDNEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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