2791 Richmond LLC
Dentist, General Practice in Staten Island, New York
1003391186- Practice location
- 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314
- Phone
- 718-400-9002
- Fax
- —
- Last updated
- September 25, 2018
2791 Richmond LLC is a healthcare organization based in Staten Island, NY. 2791 Richmond LLC practices in Staten Island, NY. The NPI Number for 2791 Richmond LLC is 1003391186. The current practice location address for 2791 Richmond LLC is 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314 and can be reached out via phone at 718-400-9002.
Provider Profile Details
- NPI Number
- 1003391186
- Provider Name
- 2791 Richmond LLC
- Provider Entity Type
- Organization
- Address
- 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314
- Phone Number
- 718-400-9002
- Primary Taxonomy
- Dentist, General Practice · 1223G0001X
- Organization Subpart
- No
- Authorized Official
- Toni Lynn Egan · Credentialing Department · 718-979-2121
- Other Names
- Oakwood Dental Arts By The Mall (Doing Business As)
- Provider Enumeration Date
- September 25, 2018
- Last Update Date
- September 25, 2018
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2791 Richmond Avenue, Suite 2
Staten Island, NY 10314 - City
- Staten Island
- State
- New York
- Zip
- 10314
- Phone Number
- 718-400-9002
Provider Business Mailing Address Details
- Address
- 2791 Richmond Ave Ste 2
Staten Island, NY 10314-5859 - City
- Staten Island
- State
- NY
- Zip
- 10314-5859
- Phone Number
- 718-400-9002
License Information
- Taxonomy
- Dentist, General Practice · 1223G0001X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of 2791 Richmond LLC?
The NPI number of 2791 Richmond LLC is 1003391186. It was assigned on September 25, 2018 and is currently active in the NPPES registry.
What is the specialty of 2791 Richmond LLC?
2791 Richmond LLC is registered under the primary taxonomy Dentist, General Practice (code 1223G0001X).
Where does 2791 Richmond LLC practice?
The practice location is 2791 Richmond Avenue, Suite 2, Staten Island, NY 10314. The office can be reached at 718-400-9002 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1003391186 directly on the NPPES registry website.