RADIANT SMILE DENTAL CARE PC NPI 1043580038

NPI Information

NPI: 1043580038
Provider Name: RADIANT SMILE DENTAL CARE PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
812 JERICHO TPKE
NEW HYDE PARK, NY
ZIP 11040
Phone: (516) 355-9510
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RADIANT SMILE DENTAL CARE PC is a dental clinic center in New Hyde Park, NY. RADIANT SMILE DENTAL CARE PC NPI is 1043580038. The provider is registered as an organization entity type.

The provider's business location address is:

812 JERICHO TPKE
NEW HYDE PARK, NY
ZIP 11040-514
Phone: (516) 355-9510
Fax: (516) 437-4567

The provider's authorized official is Pavel Krastev .
The authorized official title is Owner/president and has the following contact phone number (516) 355-9510.

The enumeration date for this NPI number is 1/6/2012 and was last updated on 1/6/2012.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QD0000X	Clinic/Center	Dental	044978	NEW YORK	Yes

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: 5/5/2024

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