Periodontal Medicine And Surgical Specialists, Ltd

LBN: Periodontal Medicine And Surgical Specialists, Llc
Periodontal Medicine And Surgical Specialists, Ltd is an health care organization with primary practice located at 1875 Dempster St Suite 250, Park Ridge IL 60068-1186. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Dental Providers / Dental Hygienist. Dental Providers / Periodontics is the primary health care specialty. Periodontal Medicine And Surgical Specialists, Llc can be contacted via phone (847) 698-1180, or through Mandelaris, George A via phone (630) 627-3930.

Contact Information

Primary practice address
1875 Dempster St Suite 250 Park Ridge IL 60068-1186
Phone: (847) 698-1180
Fax: (847) 698-1185
Website:
Map and Directions
Authorized official contact:
Name: Mandelaris, George A Doctor of Dental Surgery (DDS)
Phone: (630) 627-3930

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 019030200 Illinois
Dental Providers / Periodontics 1223P0300X 019014972 Illinois
Dental Providers / Periodontics 1223P0300X 019024971 Illinois
Dental Providers / Dental Hygienist 124Q00000X 020005282 Illinois

Profile Details

NPI number 1588703490
LBN Legal business name Periodontal Medicine And Surgical Specialists, Llc
DBA Doing business as Periodontal Medicine And Surgical Specialists, Ltd
Authorized official Mandelaris, George A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Dec 29th, 2016 - 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.

Request for update

Popular Providers