HANETTE GOMEZ DENTISTRY PLLC NPI 1376131052

NPI Information

NPI: 1376131052
Provider Name: HANETTE GOMEZ DENTISTRY PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
9531 156TH AVE
HOWARD BEACH, NY
ZIP 11414
Phone: (718) 848-7878
Get Directions

HANETTE GOMEZ DENTISTRY PLLC is a general practice dentist in Howard Beach, 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. HANETTE GOMEZ DENTISTRY PLLC NPI is 1376131052. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9531 156TH AVE
HOWARD BEACH, NY
ZIP 11414-863
Phone: (718) 848-7878
Fax: (718) 848-4374

The provider's authorized official is Hanette S Gomez .
The authorized official title is Owner/dentist and has the following contact phone number (718) 848-7878.

The enumeration date for this NPI number is 1/7/2021 and was last updated on 1/7/2021.

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	1223G0001X	Dentist	General Practice			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	01281218	MEDICAID	NEW 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: 5/5/2024

NPI Synchronization or Removal

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