Lary M. Pane, D.D.S.,P.C.

LBN: Lary M. Pane, D.D.S.,P.C.
Lary M. Pane, D.D.S.,P.C. is an health care organization with primary practice located at 4420 Saint Charles Rd , Bellwood IL 60104-1157. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Lary M. Pane, D.D.S.,P.C. can be contacted via phone (708) 547-7160, or through Pane, Lary M via phone (708) 547-7160.

Contact Information

Primary practice address
4420 Saint Charles Rd Bellwood IL 60104-1157
Phone: (708) 547-7160
Fax: (630) 426-0211
Website:
Map and Directions
Authorized official contact:
Name: Pane, Lary M D.D.S.,P.C.
Phone: (708) 547-7160

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 01901546 Illinois

Profile Details

NPI number 1003080136
LBN Legal business name Lary M. Pane, D.D.S.,P.C.
DBA Doing business as
Authorized official Pane, Lary M D.D.S.,P.C.
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2008
Last updated Apr 18th, 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 1003080136 NPPES
Illinois MEDICAID 1005522

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