Access Dental Of Peoria Optim Llc

LBN: Access Dental Of Peoria Optim Llc
Access Dental Of Peoria Optim Llc is an health care organization with primary practice located at 1200 W Main St Ste 9 , Peoria IL 61606-1218. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Access Dental Of Peoria Optim Llc can be contacted via phone (309) 777-9777, or through Carrillo, Andrea via phone (512) 351-2612.

Contact Information

Primary practice address
1200 W Main St Ste 9 Peoria IL 61606-1218
Phone: (309) 777-9777
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Carrillo, Andrea
Phone: (512) 351-2612

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1437818242
LBN Legal business name Access Dental Of Peoria Optim Llc
DBA Doing business as
Authorized official Carrillo, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Dec 9th, 2021
Last updated Dec 9th, 2021 - about 4 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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