Affinity Family Dental Champaign
LBN: Affinity Dental Champaign Llc
Affinity Family Dental Champaign is an health care organization with primary practice located at 2918 Crossing Ct Ste A , Champaign IL 61822-6100. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty.
Affinity Dental Champaign Llc can be contacted via phone (217) 298-7999, or through Durshanapalli, Srinivas via phone (217) 298-7999.
Contact Information
Primary practice address
2918 Crossing Ct Ste A
Champaign IL 61822-6100
Phone: (217) 298-7999
Fax: (217) 888-3899
Website:
Authorized official contact:
Name: Durshanapalli, Srinivas Doctor of Dental Surgery (DDS)
Phone: (217) 298-7999
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Ambulatory Health Care Facilities / Dental | 261QD0000X |
Profile Details
| NPI number | 1770359515 |
|---|---|
| LBN Legal business name | Affinity Dental Champaign Llc |
| DBA Doing business as | Affinity Family Dental Champaign |
| Authorized official | Durshanapalli, Srinivas Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Dec 4th, 2023 |
| Last updated | Jan 23rd, 2024 - about 2 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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