Riverside Dental Investments Llc

LBN: Riverside Dental Investments Llc
Riverside Dental Investments Llc is an health care organization with primary practice located at 13510 Julie Dr , Poplar Grove IL 61065-7829. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Riverside Dental Investments Llc can be contacted via phone (815) 765-9900, or through Bailey, Sara J via phone (815) 765-9900.

Contact Information

Primary practice address
13510 Julie Dr Poplar Grove IL 61065-7829
Phone: (815) 765-9900
Fax: (815) 765-9901
Website:
Map and Directions
Authorized official contact:
Name: Bailey, Sara J
Phone: (815) 765-9900

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X

Profile Details

NPI number 1386217164
LBN Legal business name Riverside Dental Investments Llc
DBA Doing business as
Authorized official Bailey, Sara J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 20th, 2021
Last updated Jul 20th, 2021 - about 5 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 1386217164 NPPES
Illinois Other 1134353014 INDIVIDUAL NPI
Illinois Other 1356461255 INDIVIDUAL NPI

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