Reznikov Dental, Pc

LBN: Reznikov Dental, Pc
Reznikov Dental, Pc is an health care organization with primary practice located at 1556 S Michigan Ave Ste 110, Chicago IL 60605-1937. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Dentist is the primary health care specialty. Reznikov Dental, Pc can be contacted via phone (312) 588-0043, or through Reznikov, Alexander via phone (847) 877-3570.

Contact Information

Primary practice address
1556 S Michigan Ave Ste 110 Chicago IL 60605-1937
Phone: (312) 588-0043
Fax: (312) 588-0287
Website:
Map and Directions
Authorized official contact:
Name: Reznikov, Alexander Doctor of Dental Surgery (DDS)
Phone: (847) 877-3570

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019029473 Illinois
Dental Providers / Periodontics 1223P0300X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1073991162
LBN Legal business name Reznikov Dental, Pc
DBA Doing business as
Authorized official Reznikov, Alexander Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2015
Last updated May 11th, 2015 - about 11 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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