Uic College Of Dentistry

LBN: Board Of Trustees Of The University Of Illinois
Uic College Of Dentistry is an health care organization with primary practice located at 801 S Paulina St Mc 621, Chicago IL 60612-7210. The organization recently has 8 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty. Board Of Trustees Of The University Of Illinois can be contacted via phone (312) 996-7555, or through Clark, David M via phone (312) 996-3544.

Contact Information

Primary practice address
801 S Paulina St Mc 621 Chicago IL 60612-7210
Phone: (312) 996-7555
Fax: (312) 355-3864
Website:
Map and Directions
Authorized official contact:
Name: Clark, David M BS, MA, DDS
Phone: (312) 996-3544

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1992873921
LBN Legal business name Board Of Trustees Of The University Of Illinois
DBA Doing business as Uic College Of Dentistry
Authorized official Clark, David M BS, MA, DDS
Entity Organization
Organization subpart 1 Yes
Enumeration date Nov 30th, 2006
Last updated Dec 12th, 2022 - about 4 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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