Provider Demographics
NPI:1659944791
Name:U.E.S. DENTAL P.L.L.C.
Entity Type:Organization
Organization Name:U.E.S. DENTAL P.L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RATNA
Authorized Official - Middle Name:
Authorized Official - Last Name:MONGA
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:516-683-0888
Mailing Address - Street 1:1600 STEWART AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:WESTBURY
Mailing Address - State:NY
Mailing Address - Zip Code:11590-6611
Mailing Address - Country:US
Mailing Address - Phone:516-683-0888
Mailing Address - Fax:
Practice Address - Street 1:1600 STEWART AVE STE 102
Practice Address - Street 2:
Practice Address - City:WESTBURY
Practice Address - State:NY
Practice Address - Zip Code:11590-6611
Practice Address - Country:US
Practice Address - Phone:516-683-0888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:U.E.S. DENTAL P.L.L.C.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-16
Last Update Date:2021-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1790967412OtherINSURANCE