Provider Demographics
NPI:1104941244
Name:DR JOHN MCPARTLIN DDS PC
Entity type:Organization
Organization Name:DR JOHN MCPARTLIN DDS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST & OWNER OF CORPORATION
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:F
Authorized Official - Last Name:MCPARTLIN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS PC
Authorized Official - Phone:718-533-0386
Mailing Address - Street 1:1 BAY CLUB DRIVE
Mailing Address - Street 2:APT 18M
Mailing Address - City:BAYSIDE
Mailing Address - State:NY
Mailing Address - Zip Code:11360
Mailing Address - Country:US
Mailing Address - Phone:718-423-8725
Mailing Address - Fax:
Practice Address - Street 1:63 70 WOODHAVEN BLVD
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374
Practice Address - Country:US
Practice Address - Phone:718-533-0386
Practice Address - Fax:718-533-1326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0351601223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty