Organization
JDS DENTAL CARE PLLC
Active
Other names
Marine Dental Services
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ALBANESE DMD (OWNER)
(917) 561-0539
Entity
Organization
Contact information
Practice address
255 MASON AVE, STATEN ISLAND, NY 10305-3416
(718) 987-6543
Mailing address
15 OLIVER ST APT 2H, BROOKLYN, NY 11209-6511
(917) 561-0539
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
1223E0200X
Endodontics
—
—
1223P0221X
Pediatric Dentistry
—
—
1223P0300X
Periodontics
—
—
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
—
—
124Q00000X
Dental Hygienist
—
—
Other
Enumeration date
10/14/2019
Last updated
10/14/2019
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