Renken Dentistry Pc

LBN: Renken Dentistry Pc
Renken Dentistry Pc is an health care organization with primary practice located at 2801 Mansion Rd , Springfield IL 62711-6724. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Renken Dentistry Pc can be contacted via phone (217) 483-7177, or through Renken, Joshua M via phone (217) 483-7177.

Contact Information

Primary practice address
2801 Mansion Rd Springfield IL 62711-6724
Phone: (217) 483-7177
Fax: (217) 483-7190
Website:
Map and Directions
Authorized official contact:
Name: Renken, Joshua M Doctor of Dental Surgery (DDS)
Phone: (217) 483-7177

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019025823 Illinois

Profile Details

NPI number 1710162326
LBN Legal business name Renken Dentistry Pc
DBA Doing business as
Authorized official Renken, Joshua M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2008
Last updated Aug 28th, 2019 - about 7 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 1710162326 NPPES
Illinois MEDICAID 9183211

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