Lakeland Hills Dental Pc

LBN: Lakeland Hills Dental Pc
Lakeland Hills Dental Pc is an health care organization with primary practice located at 5011 N Illinois Suite 1, Fairview Heights IL 62208-3419. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lakeland Hills Dental Pc can be contacted via phone (618) 222-1942, or through Jankowski, Walter J. via phone (618) 222-1942.

Contact Information

Primary practice address
5011 N Illinois Suite 1 Fairview Heights IL 62208-3419
Phone: (618) 222-1942
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jankowski, Walter J.
Phone: (618) 222-1942

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1194735761
LBN Legal business name Lakeland Hills Dental Pc
DBA Doing business as
Authorized official Jankowski, Walter J.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 8th, 2006
Last updated Aug 22nd, 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 1194735761 NPPES
Illinois Other 1318983 UCCI

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