Active NPI
Liberty Dental Care P.C.
- General Practice Dentistry
- South Richmond Hill, NY
National Provider Identifier
1003195298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 053394
- Legal business name
- LIBERTY DENTAL CARE P.C.
- Practice address
- 11210 Liberty Ave
South Richmond Hill, NY 11419-1814 - Phone
- (718) 322-1415
- Fax
- (718) 880-2360
- NPI assigned
- Aug 5, 2011
- Last updated
- Aug 5, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Sharla Seunarine, DDS
- Title
- Owner
- Phone
- (718) 322-1415
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 046341 | NY | |
| General Practice Dentistry | 1223G0001X | 053394 | NY | Primary |
Addresses
Primary practice location
11210 Liberty Ave
South Richmond Hill, NY 11419-1814
Mailing address
112-10 Liberty Avenue
South Richmond Hill, NY 11419
Phone (718) 322-1415
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02921479 | Medicaid | NY | |
| 01742896 | Medicaid | NY |
National Provider Directory
National Provider DirectoryLocations
11210 Liberty Ave
South Richmond Hill, NY 11419
Phone (718) 322-1415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1312502400000",
"number": "1003195298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112-10 LIBERTY AVENUE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "11419",
"telephone_number": "718-322-1415",
"fax_number": "718-880-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11210 LIBERTY AVE",
"city": "SOUTH RICHMOND HILL",
"state": "NY",
"postal_code": "114191814",
"telephone_number": "718-322-1415",
"fax_number": "718-880-2360"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIBERTY DENTAL CARE P.C.",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-05",
"last_updated": "2011-08-05",
"status": "A",
"authorized_official_last_name": "SEUNARINE",
"authorized_official_first_name": "SHARLA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "718-322-1415",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "046341",
"primary": false
},
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "NY",
"license": "053394",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02921479",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01742896",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in South Richmond Hill, NY
- Lin Leung, PHARMD, BCSCP
- Liberty 786 Dentistry
- Liberty Adult Day Care LLC
- Liberty Advanced Medical, P.C.
- Liberty Chiropractic Healthe & Wellness, P. C.
- Liberty Eyecare Corp
- Liberty Eyes Inc. (Cohen's Fashion Optical)
- Liberty Footcare, PLLC
- Liberty Footcare,PLLC
- Liberty Home Care Nurses Employment Agency Inc (Liberty Homecare)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.