A-Denta Care Specialist Pc

LBN: A-Denta Care Specialist Pc
A-Denta Care Specialist Pc is an health care organization with primary practice located at 5780 N Lincoln Ave , Chicago IL 60659-4721. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Periodontics. Dental Providers / Periodontics is the primary health care specialty. A-Denta Care Specialist Pc can be contacted via phone (773) 769-1754, or through Dimoulis, John via phone (773) 769-1754.

Contact Information

Primary practice address
5780 N Lincoln Ave Chicago IL 60659-4721
Phone: (773) 769-1754
Fax: (773) 769-1370
Website:
Map and Directions
Authorized official contact:
Name: Dimoulis, John DDS MS
Phone: (773) 769-1754

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 021002414 Illinois
Dental Providers / Endodontics 1223E0200X 021002411 Illinois
Dental Providers / Periodontics 1223P0300X 021001402 Illinois

Profile Details

NPI number 1417223470
LBN Legal business name A-Denta Care Specialist Pc
DBA Doing business as
Authorized official Dimoulis, John DDS MS
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2012
Last updated Mar 23rd, 2012 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1417223470 NPPES
Illinois Other 1619133345 NPI DENTAL PROVIDER
Illinois Other 136645657 NPI DENTAL PROVIDER
Illinois Other 1962592865 NPI DENTAL PROVIDER

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