Main Street Dentistry Llc

LBN: Main Street Dentistry Llc
Main Street Dentistry Llc is an health care organization with primary practice located at 801 Main Street Nw , Bourbonnais IL 60914. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Main Street Dentistry Llc can be contacted via phone (815) 932-3516, or through Acierno, Alan M. via phone (630) 339-3172.

Contact Information

Primary practice address
801 Main Street Nw Bourbonnais IL 60914
Phone: (815) 932-3516
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Acierno, Alan M. Doctor of Dental Surgery (DDS)
Phone: (630) 339-3172

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X

Profile Details

NPI number 1316321524
LBN Legal business name Main Street Dentistry Llc
DBA Doing business as
Authorized official Acierno, Alan M. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2015
Last updated Sep 15th, 2015 - about 10 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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