34Th Street Dental Care

LBN: 34Th Street Dental Care
34Th Street Dental Care is an health care organization with primary practice located at 6411 34Th St , Berwyn IL 60402-3717. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. 34Th Street Dental Care can be contacted via phone (708) 484-6576, or through Brucci, Anthony A via phone (708) 484-6576.

Contact Information

Primary practice address
6411 34Th St Berwyn IL 60402-3717
Phone: (708) 484-6576
Fax: (708) 484-0843
Website:
Map and Directions
Authorized official contact:
Name: Brucci, Anthony A Doctor of Dental Medicine (DMD)
Phone: (708) 484-6576

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019023728 Illinois

Profile Details

NPI number 1124358551
LBN Legal business name 34Th Street Dental Care
DBA Doing business as 34Th Street Dental Care
Authorized official Brucci, Anthony A Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 7th, 2010
Last updated Jan 7th, 2010 - about 15 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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