Scm Dental Pc

LBN: Scm Dental Pc
Scm Dental Pc is an health care organization with primary practice located at 2435 Glenwood Ave , Joliet IL 60435-5461. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Scm Dental Pc can be contacted via phone (815) 725-0260, or through Mehta, Sonal C via phone (815) 725-0260.

Contact Information

Primary practice address
2435 Glenwood Ave Joliet IL 60435-5461
Phone: (815) 725-0260
Fax: (815) 729-2126
Website:
Map and Directions
Authorized official contact:
Name: Mehta, Sonal C Doctor of Dental Surgery (DDS)
Phone: (815) 725-0260

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019027726 Illinois

Profile Details

NPI number 1609136373
LBN Legal business name Scm Dental Pc
DBA Doing business as
Authorized official Mehta, Sonal C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 29th, 2012
Last updated Mar 15th, 2017 - about 9 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 1609136373 NPPES
Illinois MEDICAID 421529687

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