Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il
LBN: Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il
Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il is an health care organization with primary practice located at 208 N Walnut Ave , Forreston IL 61030-9330. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il can be contacted via phone (815) 938-2575, or through Bares, Scott C via phone (815) 938-2575.
Contact Information
Primary practice address
208 N Walnut Ave
Forreston IL 61030-9330
Phone: (815) 938-2575
Fax:
Website:
Authorized official contact:
Name: Bares, Scott C Doctor of Dental Surgery (DDS)
Phone: (815) 938-2575
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery | 261QS0112X |
Profile Details
| NPI number | 1437703113 |
|---|---|
| LBN Legal business name | Shady Oak Dental Llc Oral And Maxillofacial Surgeons Of Northwest Il |
| DBA Doing business as | |
| Authorized official | Bares, Scott C Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 30th, 2019 |
| Last updated | Jul 30th, 2019 - about 6 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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