Artistic Dental Centre

LBN: Artistic Dental Centre
Artistic Dental Centre is an health care organization with primary practice located at 15445 South Park Ave , South Holland IL 60473-1302. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Artistic Dental Centre can be contacted via phone (708) 339-6800, or through Gruber, Albert Fitz via phone (708) 339-6800.

Contact Information

Primary practice address
15445 South Park Ave South Holland IL 60473-1302
Phone: (708) 339-6800
Fax: (708) 339-5567
Website:
Map and Directions
Authorized official contact:
Name: Gruber, Albert Fitz Doctor of Dental Medicine (DMD)
Phone: (708) 339-6800

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019-019995 Illinois

Profile Details

NPI number 1811262223
LBN Legal business name Artistic Dental Centre
DBA Doing business as
Authorized official Gruber, Albert Fitz Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 19th, 2012
Last updated Mar 19th, 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 1811262223 NPPES
Illinois MEDICAID 1386714210

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