Provider Demographics
NPI:1598063356
Name:ORACARE DENTAL SERVICES, P.C.
Entity Type:Organization
Organization Name:ORACARE DENTAL SERVICES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JOSHUA
Authorized Official - Middle Name:Y
Authorized Official - Last Name:CHOPP
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:718-853-0869
Mailing Address - Street 1:122 LAWRENCE AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:NY
Mailing Address - Zip Code:11559-1442
Mailing Address - Country:US
Mailing Address - Phone:718-853-0869
Mailing Address - Fax:
Practice Address - Street 1:122 LAWRENCE AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:NY
Practice Address - Zip Code:11559-1442
Practice Address - Country:US
Practice Address - Phone:718-853-0869
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-03-03
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY50-039569122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty