John Petrucci Dds

LBN: John Petrucci Dds
John Petrucci Dds is an health care organization with primary practice located at 328 E Army Trail Rd , Glendale Hts IL 60139. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. John Petrucci Dds can be contacted via phone (630) 924-5579, or through Petrucci, John via phone (630) 924-5579.

Contact Information

Primary practice address
328 E Army Trail Rd Glendale Hts IL 60139
Phone: (630) 924-5579
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Petrucci, John Doctor of Dental Surgery (DDS)
Phone: (630) 924-5579

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019019714 Illinois

Profile Details

NPI number 1346407335
LBN Legal business name John Petrucci Dds
DBA Doing business as
Authorized official Petrucci, John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 19th, 2008
Last updated May 19th, 2008 - about 18 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 1346407335 NPPES
Illinois MEDICAID 019019714

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