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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| 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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