George D Di Tola Dds Ltd

LBN: George D Di Tola Dds Ltd
George D Di Tola Dds Ltd is an health care organization with primary practice located at 3521 W Lake St , Melrose Park IL 60160-2825. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. George D Di Tola Dds Ltd can be contacted via phone (708) 865-1214, or through Ditola, George Dominick via phone (708) 865-1214.

Contact Information

Primary practice address
3521 W Lake St Melrose Park IL 60160-2825
Phone: (708) 865-1214
Fax: (708) 865-7933
Website:
Map and Directions
Authorized official contact:
Name: Ditola, George Dominick Doctor of Dental Surgery (DDS)
Phone: (708) 865-1214

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019016202G Illinois

Profile Details

NPI number 1598746364
LBN Legal business name George D Di Tola Dds Ltd
DBA Doing business as
Authorized official Ditola, George Dominick Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Jun 16th, 2008 - about 17 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 1598746364 NPPES
Illinois MEDICAID 1001668

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