Sonrisa Dental Pc

LBN: Sonrisa Dental Pc
Sonrisa Dental Pc is an health care organization with primary practice located at 2001 S California Ave , Chicago IL 60608-2486. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Sonrisa Dental Pc can be contacted via phone (773) 484-1201, or through Korkus, Jason via phone (773) 484-1201.

Contact Information

Primary practice address
2001 S California Ave Chicago IL 60608-2486
Phone: (773) 484-1201
Fax: (773) 484-1205
Website:
Map and Directions
Authorized official contact:
Name: Korkus, Jason Doctor of Dental Surgery (DDS)
Phone: (773) 484-1201

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X Illinois

Profile Details

NPI number 1881893147
LBN Legal business name Sonrisa Dental Pc
DBA Doing business as
Authorized official Korkus, Jason Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2007
Last updated Jul 16th, 2007 - about 19 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 1881893147 NPPES
Illinois MEDICAID 163914

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