Periodontics & Dental Implant Center Ltd

LBN: Periodontics & Dental Implant Center Ltd
Periodontics & Dental Implant Center Ltd is an health care organization with primary practice located at 1900 W 47Th St , Chicago IL 60609-3833. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Periodontics & Dental Implant Center Ltd can be contacted via phone (773) 847-9004, or through Aldollal, Amjod via phone (773) 847-9004.

Contact Information

Primary practice address
1900 W 47Th St Chicago IL 60609-3833
Phone: (773) 847-9004
Fax: (773) 847-9008
Website:
Map and Directions
Authorized official contact:
Name: Aldollal, Amjod Doctor of Dental Surgery (DDS)
Phone: (773) 847-9004

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 019028531 Illinois

Profile Details

NPI number 1275874182
LBN Legal business name Periodontics & Dental Implant Center Ltd
DBA Doing business as
Authorized official Aldollal, Amjod Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 4th, 2013
Last updated Mar 4th, 2013 - about 12 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 1275874182 NPPES
Illinois MEDICAID 019028531

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