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Black Hall Dental, P.C.

Dentist in Glen Cove, NY · enumerated 2024 · authorized official Theresa Fan, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306698840

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Registry record

Entity type Organization (Type 2)
Legal business name Black Hall Dental, P.C.
Parent organization Black Hall Dental, P.C.
Practice address 10 Medical Plz Ste 210, Glen Cove, NY, 11542
Enumeration date Apr 5, 2024
Last updated in NPPES Apr 5, 2024

Taxonomy & classification

122300000X Dentist Dental Providers Primary

Authorized official

Name Theresa Fan
Title Administrator

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Black Hall Dental, P.C.?
The NPI for Black Hall Dental, P.C. is 1306698840, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Black Hall Dental, P.C.?
NPPES lists Theresa Fan (Administrator) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-04-05.