590 Dental Care Llc

LBN: 590 Dental Care Llc
590 Dental Care Llc is an health care organization with primary practice located at 590 William R Latham Sr Dr , Bourbonnais IL 60914-2320. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. 590 Dental Care Llc can be contacted via phone (630) 339-3172, or through Acierno, Alan J via phone (630) 339-3172.

Contact Information

Primary practice address
590 William R Latham Sr Dr Bourbonnais IL 60914-2320
Phone: (630) 339-3172
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Acierno, Alan J Doctor of Dental Surgery (DDS)
Phone: (630) 339-3172

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 019018431 Illinois

Profile Details

NPI number 1326400078
LBN Legal business name 590 Dental Care Llc
DBA Doing business as
Authorized official Acierno, Alan J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2016
Last updated Mar 28th, 2016 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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