That'S The Tooth

LBN: Proverbs 3 Pc
That'S The Tooth is an health care organization with primary practice located at 2447 W 79Th St , Chicago IL 60652-1734. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Proverbs 3 Pc can be contacted via phone (773) 776-1285, or through James, Patricia via phone (773) 776-1285.

Contact Information

Primary practice address
2447 W 79Th St Chicago IL 60652-1734
Phone: (773) 776-1285
Fax: (773) 776-3171
Website:
Map and Directions
Authorized official contact:
Name: James, Patricia
Phone: (773) 776-1285

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019022143 Illinois

Profile Details

NPI number 1396734026
LBN Legal business name Proverbs 3 Pc
DBA Doing business as That'S The Tooth
Authorized official James, Patricia
Entity Organization
Organization subpart 1 No
Enumeration date Oct 15th, 2005
Last updated Sep 6th, 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 1396734026 NPPES
Illinois MEDICAID 1002342

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