Provider Demographics
NPI:1255179818
Name:DENTAL HOUSE DENTAL CARE P.C.
Entity type:Organization
Organization Name:DENTAL HOUSE DENTAL CARE P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BELAL
Authorized Official - Middle Name:
Authorized Official - Last Name:ASSAEDI
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:347-264-1000
Mailing Address - Street 1:20008 KENO AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NY
Mailing Address - Zip Code:11423-1436
Mailing Address - Country:US
Mailing Address - Phone:347-264-1000
Mailing Address - Fax:
Practice Address - Street 1:857 MORRIS PARK AVE
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10462-3852
Practice Address - Country:US
Practice Address - Phone:347-264-1000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental