Advanced Lisle Dental

LBN: Advanced Lisle Dental
Advanced Lisle Dental is an health care organization with primary practice located at 1046 Maple Ave , Lisle IL 60532-2329. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Advanced Lisle Dental can be contacted via phone (630) 890-6102, or through Patel, Hetalkumar via phone (630) 890-6102.

Contact Information

Primary practice address
1046 Maple Ave Lisle IL 60532-2329
Phone: (630) 890-6102
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Patel, Hetalkumar
Phone: (630) 890-6102

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 019027403 Illinois

Profile Details

NPI number 1972936334
LBN Legal business name Advanced Lisle Dental
DBA Doing business as
Authorized official Patel, Hetalkumar
Entity Organization
Organization subpart 1 No
Enumeration date Aug 20th, 2013
Last updated Aug 20th, 2013 - about 13 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.

Request for update

Popular Providers