Lake Forest Pediatic Dentistry, Pc

LBN: Lake Forest Pediatic Dentistry, Pc
Lake Forest Pediatic Dentistry, Pc is an health care organization with primary practice located at 500 N Western Ave Suite 215, Lake Forest IL 60045-1954. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Lake Forest Pediatic Dentistry, Pc can be contacted via phone (847) 482-1900, or through Gordon, Joseph via phone (847) 482-1900.

Contact Information

Primary practice address
500 N Western Ave Suite 215 Lake Forest IL 60045-1954
Phone: (847) 482-1900
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Gordon, Joseph Doctor of Dental Surgery (DDS)
Phone: (847) 482-1900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 019024258 Illinois

Profile Details

NPI number 1841608502
LBN Legal business name Lake Forest Pediatic Dentistry, Pc
DBA Doing business as
Authorized official Gordon, Joseph Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 25th, 2014
Last updated Jul 25th, 2014 - about 12 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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