Provider Demographics
NPI:1801990965
Name:FAMILY DENTAL CARE LLP
Entity type:Organization
Organization Name:FAMILY DENTAL CARE LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:E
Authorized Official - Last Name:KRONBERG
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:631-265-6262
Mailing Address - Street 1:111 SMITHTOWN BYPASS
Mailing Address - Street 2:SUITE 203
Mailing Address - City:HAUPPAUGE
Mailing Address - State:NY
Mailing Address - Zip Code:11788
Mailing Address - Country:US
Mailing Address - Phone:631-265-6262
Mailing Address - Fax:
Practice Address - Street 1:111 SMITHTOWN BYPASS
Practice Address - Street 2:SUITE 203
Practice Address - City:HAUPPAUGE
Practice Address - State:NY
Practice Address - Zip Code:11788
Practice Address - Country:US
Practice Address - Phone:631-265-6262
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-11
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY30229122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty