1St Dental Care

LBN: 1St Dental Care
1St Dental Care is an health care organization with primary practice located at 1556 Douglas Rd , Montgomery IL 60538-1645. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. 1St Dental Care can be contacted via phone (630) 859-9340, or through Malaki, Abdul G via phone (630) 859-9340.

Contact Information

Primary practice address
1556 Douglas Rd Montgomery IL 60538-1645
Phone: (630) 859-9340
Fax: (630) 859-9341
Website:
Map and Directions
Authorized official contact:
Name: Malaki, Abdul G Doctor of Dental Surgery (DDS)
Phone: (630) 859-9340

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019023856 Illinois

Profile Details

NPI number 1386719391
LBN Legal business name 1St Dental Care
DBA Doing business as
Authorized official Malaki, Abdul G Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 22nd, 2006
Last updated Oct 20th, 2014 - about 10 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 1386719391 NPPES
Illinois MEDICAID 1114091030

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