Dover Dental Center

LBN: Dover Dental Center
Dover Dental Center is an health care organization with primary practice located at 95 Trade St Ste 101 , Aurora IL 60504-8296. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Dover Dental Center can be contacted via phone (630) 851-7878, or through Hafezi, Maryam via phone (630) 851-7878.

Contact Information

Primary practice address
95 Trade St Ste 101 Aurora IL 60504-8296
Phone: (630) 851-7878
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Hafezi, Maryam Doctor of Dental Medicine (DMD)
Phone: (630) 851-7878

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1003449018
LBN Legal business name Dover Dental Center
DBA Doing business as
Authorized official Hafezi, Maryam Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2020
Last updated Mar 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1003449018 NPPES
Illinois MEDICAID 019025427

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