Martin Dental Associates Pc

LBN: Martin Dental Associates Pc
Martin Dental Associates Pc is an health care organization with primary practice located at 501 North Main Street , Flora IL 62839. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Martin Dental Associates Pc can be contacted via phone (618) 662-2025, or through Marin, Harold Lee via phone (618) 662-2025.

Contact Information

Primary practice address
501 North Main Street Flora IL 62839
Phone: (618) 662-2025
Fax: (618) 662-2911
Website:
Map and Directions
Authorized official contact:
Name: Marin, Harold Lee Doctor of Dental Surgery (DDS)
Phone: (618) 662-2025

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1043365968
LBN Legal business name Martin Dental Associates Pc
DBA Doing business as
Authorized official Marin, Harold Lee Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
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 1043365968 NPPES
Illinois MEDICAID 101453

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