Pumilia Family Dental Llc
LBN: Pumilia Family Dental Llc
Pumilia Family Dental Llc is an health care organization with primary practice located at 755 S Mulford Rd , Rockford IL 61108-4208. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Suppliers / Customized Equipment is the primary health care specialty.
Pumilia Family Dental Llc can be contacted via phone (815) 398-2410, or through Pumilia, Pacita Marie via phone (815) 398-2410.
Contact Information
Primary practice address
755 S Mulford Rd
Rockford IL 61108-4208
Phone: (815) 398-2410
Fax: (815) 398-2620
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 319.010939 | Illinois |
| Suppliers / Customized Equipment | 332BC3200X | 019021788 | Illinois |
Profile Details
| NPI number | 1679977458 |
|---|---|
| LBN Legal business name | Pumilia Family Dental Llc |
| DBA Doing business as | |
| Authorized official | Pumilia, Pacita Marie DDS, DIPLOMATE ABDSM |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 22nd, 2014 |
| Last updated | Jan 22nd, 2018 - about 8 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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