Old Orchard Dental Group P.C.

LBN: Old Orchard Dental Group P.C.
Old Orchard Dental Group P.C. is an health care organization with primary practice located at 9631 Gross Point Rd Suite 4, Skokie IL 60076-1264. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Old Orchard Dental Group P.C. can be contacted via phone (312) 402-7414, or through Sarrafi, Atosa via phone (312) 402-7414.

Contact Information

Primary practice address
9631 Gross Point Rd Suite 4 Skokie IL 60076-1264
Phone: (312) 402-7414
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Sarrafi, Atosa Doctor of Dental Medicine (DMD)
Phone: (312) 402-7414

Health care specialties

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

Profile Details

NPI number 1578886206
LBN Legal business name Old Orchard Dental Group P.C.
DBA Doing business as
Authorized official Sarrafi, Atosa Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2010
Last updated Mar 9th, 2010 - about 15 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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