Aurora Orthodontics And Periodontics

LBN: Chacon Dental Group
Aurora Orthodontics And Periodontics is an health care organization with primary practice located at 3535 E New York St , Aurora IL 60504-4465. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Orthodontics and Dentofacial Orthopedics is the primary health care specialty. Chacon Dental Group can be contacted via phone (630) 338-1652, or through Chacon, Jose via phone (630) 338-1658.

Contact Information

Primary practice address
3535 E New York St Aurora IL 60504-4465
Phone: (630) 338-1652
Fax: (630) 689-1358
Website:
Map and Directions
Authorized official contact:
Name: Chacon, Jose DDS.MD
Phone: (630) 338-1658

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 019026187 Illinois
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 019026092 Illinois

Profile Details

NPI number 1982006763
LBN Legal business name Chacon Dental Group
DBA Doing business as Aurora Orthodontics And Periodontics
Authorized official Chacon, Jose DDS.MD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 23rd, 2014
Last updated Sep 23rd, 2014 - about 12 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 1982006763 NPPES
Illinois MEDICAID 200384161
Illinois MEDICAID 065880272

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