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BLUE BAY DENTAL PC NPI 1790088730


NPI Information

NPI: 1790088730
Provider Name: BLUE BAY DENTAL, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
13620 38TH AVE STE 8D
FLUSHING, NY
ZIP 11354
Phone: (718) 888-9118
Get Directions

BLUE BAY DENTAL, PC is a general practice dentist in Flushing, 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. BLUE BAY DENTAL, PC NPI is 1790088730. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13620 38TH AVE STE 8D
FLUSHING, NY
ZIP 11354-232
Phone: (718) 888-9118
Fax: (718) 888-0508

The provider's authorized official is Wenxia Zhou .
The authorized official title is Owner and has the following contact phone number (718) 888-9118.

The enumeration date for this NPI number is 12/14/2010 and was last updated on 12/14/2010.


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 Practice055080NEW YORKYes

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
103242697MEDICAIDNEW 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: 11/14/2023

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