Bollaert'S Illini Dental Associates

LBN: Bollaert'S Illini Dental Associates
Bollaert'S Illini Dental Associates is an health care organization with primary practice located at 2909 19Th St , East Moline IL 61244-5019. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Bollaert'S Illini Dental Associates can be contacted via phone (309) 796-2251, or through Melin, Kory M via phone (309) 796-2251.

Contact Information

Primary practice address
2909 19Th St East Moline IL 61244-5019
Phone: (309) 796-2251
Fax: (309) 796-2274
Website:
Map and Directions
Authorized official contact:
Name: Melin, Kory M Doctor of Dental Medicine (DMD)
Phone: (309) 796-2251

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1790970200
LBN Legal business name Bollaert'S Illini Dental Associates
DBA Doing business as
Authorized official Melin, Kory M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 7th, 2007
Last updated Sep 7th, 2007 - about 19 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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