Organization
JACKSON HEIGHTS DENTAL MR, PC
Active
Other names
Jackson Heights Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK DAVID LORBER DDS (OWNER)
(718) 651-4523
Entity
Organization
Contact information
Practice address
8509 37TH AVE, JACKSON HEIGHTS, NY 11372-7344
(718) 651-4523
Mailing address
8509 37TH AVE, JACKSON HEIGHTS, NY 11372-7344
(718) 651-4523
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
046409
NY
122300000X
Dentist
047347
NY
1223G0001X
General Practice Dentistry
Primary
052071
NY
1223P0300X
Periodontics
047303
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01912481
—
NY
Enumeration date
01/26/2006
Last updated
09/11/2025
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