Wadsworth Dental
LBN: Tayseer A Ibrahim Dds Pc
Wadsworth Dental is an health care organization with primary practice located at 11316 W Wadsworth Rd , Beach Park IL 60099-3367. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Tayseer A Ibrahim Dds Pc can be contacted via phone (847) 872-5530, or through Ibrahim, Tayseer Ahmed via phone (847) 872-5530.
Contact Information
Primary practice address
11316 W Wadsworth Rd
Beach Park IL 60099-3367
Phone: (847) 872-5530
Fax: (847) 872-1683
Website:
Authorized official contact:
Name: Ibrahim, Tayseer Ahmed Doctor of Dental Surgery (DDS)
Phone: (847) 872-5530
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 01925457 | Illinois |
Profile Details
| NPI number | 1235356635 |
|---|---|
| LBN Legal business name | Tayseer A Ibrahim Dds Pc |
| DBA Doing business as | Wadsworth Dental |
| Authorized official | Ibrahim, Tayseer Ahmed Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jan 22nd, 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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