80Th Ave Dental Associates
LBN: 80Th Ave Dental Associates
80Th Ave Dental Associates is an health care organization with primary practice located at 16717 80Th Ave , Tinley Park IL 60477-2361. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
80Th Ave Dental Associates can be contacted via phone (708) 429-3504, or through Strauman, Richard A via phone (708) 429-3504.
Contact Information
Primary practice address
16717 80Th Ave
Tinley Park IL 60477-2361
Phone: (708) 429-3504
Fax: (708) 429-5667
Website:
Authorized official contact:
Name: Strauman, Richard A Doctor of Dental Surgery (DDS)
Phone: (708) 429-3504
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 019016658 | Illinois |
Profile Details
| NPI number | 1255400925 |
|---|---|
| LBN Legal business name | 80Th Ave Dental Associates |
| DBA Doing business as | |
| Authorized official | Strauman, Richard A Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 7th, 2006 |
| Last updated | Jul 8th, 2008 - about 16 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255400925 | NPPES |
| Florida | Other | CBFL1 | BCBS |
| Florida | Other | CBAR1 | BCBS |
| Florida | Other | CB621 | BCBS |
| Florida | Other | CBAL1 | BCBS |
| Florida | Other | SP601 | BCBS |
| Florida | Other | CBMI1 | BCBS |
| Florida | Other | 06126 | BCBS |
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