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PM DENTAL SERVICES P.C. NPI 1639353345


NPI Information

NPI: 1639353345
Provider Name: PM DENTAL SERVICES P.C.

Former Legal Business Name: PAUL HENNIS DDS -MANAL GERGES DDS

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
23520 147TH AVE
SUITE# 3
ROSEDALE, NY
ZIP 11422
Phone: (718) 723-4878
Get Directions

PM DENTAL SERVICES P.C. is a general practice dentist in Rosedale, 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. PM DENTAL SERVICES P.C. NPI is 1639353345. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Paul Hennis Dds -manal Gerges Dds.

The provider's business location address is:

23520 147TH AVE
SUITE# 3
ROSEDALE, NY
ZIP 11422-293
Phone: (718) 723-4878

The provider's authorized official is Paul Hennis .
The authorized official title is Dentist and has the following contact phone number (631) 748-6136.

The enumeration date for this NPI number is 12/18/2007 and was last updated on 12/18/2007.


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 Practice041974NEW YORKNo
21223G0001XDentistGeneral Practice037149NEW 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
101109815MEDICAIDNEW YORK
200739359MEDICAIDNEW 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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