CRYSTAL DENTAL CARE PLLC NPI 1891141172

NPI Information

NPI: 1891141172
Provider Name: CRYSTAL DENTAL CARE, PLLC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
38-50 BELL BLVD
SUITE E
BAYSIDE, NY
ZIP 11361
Phone: (718) 352-0220
Get Directions

CRYSTAL DENTAL CARE, PLLC is a general practice dentist in Bayside, 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. CRYSTAL DENTAL CARE, PLLC NPI is 1891141172. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

38-50 BELL BLVD
SUITE E
BAYSIDE, NY
ZIP 11361
Phone: (718) 352-0220

The provider's authorized official is Jason Lin .
The authorized official title is Director and has the following contact phone number (718) 352-0220.

The enumeration date for this NPI number is 5/5/2016 and was last updated on 5/5/2016.

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	051269	NEW YORK	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	04347664	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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