D J Provenzale & D J Provenzale Jr

LBN: D J Provenzale & D J Provenzale Jr
D J Provenzale & D J Provenzale Jr is an health care organization with primary practice located at 4336 Saratoga Ave , Downers Grove IL 60515. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. D J Provenzale & D J Provenzale Jr can be contacted via phone (630) 969-7711, or through Provenzale, Donald J via phone (630) 969-7711.

Contact Information

Primary practice address
4336 Saratoga Ave Downers Grove IL 60515
Phone: (630) 969-7711
Fax: (630) 969-7723
Website:
Map and Directions
Authorized official contact:
Name: Provenzale, Donald J Doctor of Dental Surgery (DDS)
Phone: (630) 969-7711

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19021170 Illinois
Dental Providers / General Practice 1223G0001X 19A12314 Illinois

Profile Details

NPI number 1710109145
LBN Legal business name D J Provenzale & D J Provenzale Jr
DBA Doing business as
Authorized official Provenzale, Donald J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Aug 22nd, 2020 - about 6 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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