Formoso Dental Pc is a Dental Clinic in New York, New York. It is located at 30 E 40th St Rm 305, New York, NY and its contact number is 212-370-1919. The authorized person for Formoso Dental Pc is Dr. David Formosan Lee
who is President of the clinic and their contact number is 718-388-4613. The primary license number for Formoso Dental Pc is 053083 (Dentist) in New York. Formoso Dental Pc Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Formoso Dental Pc Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Formoso Dental Pc
Specialization:
Dentistry
Clinic Address:
30 E 40th St Rm 305, New York, New York, 10016-1247
Phone:
212-370-1919
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. David Formosan Lee
Position:
President
Contact Number:
718-388-4613
Professional Identification Codes:
NPI number stands for National Provider Identifier which 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).
NPI details for Formoso Dental Pc clinic are as mentioned below.
NPI Number:
1629490826
NPI Enumeration Date:
08 Jan, 2014
NPI Last Update On:
10 Nov, 2020
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Formoso Dental Pc are as mentioned below.
Specialization
License Number
State
Status
Dentist
053083
New York
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
02907899
Medicaid
New York
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Formoso Dental Pc 202 Union Ave, D Brooklyn, New York
Zip:
11211-1739
Phone Number:
718-388-4613
Patients can reach Formoso Dental Pc at 30 E 40th St Rm 305, New York, New York or can call to book an appointment on 212-370-1919. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 11 November, 2024.