Freeport Dental

LBN: Freeport Dental
Freeport Dental is an health care organization with primary practice located at 1450 S West Ave , Freeport IL 61032-6351. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Freeport Dental can be contacted via phone (815) 656-4060, or through Bares, Scott via phone (815) 656-4060.

Contact Information

Primary practice address
1450 S West Ave Freeport IL 61032-6351
Phone: (815) 656-4060
Fax: (815) 656-2324
Website:
Map and Directions
Authorized official contact:
Name: Bares, Scott
Phone: (815) 656-4060

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019027024 Illinois

Profile Details

NPI number 1891165643
LBN Legal business name Freeport Dental
DBA Doing business as
Authorized official Bares, Scott
Entity Organization
Organization subpart 1 Yes
Enumeration date Oct 5th, 2015
Last updated Oct 5th, 2015 - about 11 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 1891165643 NPPES
Other 1164580734 GENERAL DENISTRY

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