Advanced Dental Care Of Springfield Llp

LBN: Advanced Dental Care Of Springfield Llp
Advanced Dental Care Of Springfield Llp is an health care organization with primary practice located at 4701 Wabash Ave , Springfield IL 62711-9694. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Advanced Dental Care Of Springfield Llp can be contacted via phone (217) 546-3333, or through Vanfdermolen, Matt Gordon via phone (217) 546-3333.

Contact Information

Primary practice address
4701 Wabash Ave Springfield IL 62711-9694
Phone: (217) 546-3333
Fax: (217) 546-1110
Website:
Map and Directions
Authorized official contact:
Name: Vanfdermolen, Matt Gordon Doctor of Dental Surgery (DDS)
Phone: (217) 546-3333

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1356947030
LBN Legal business name Advanced Dental Care Of Springfield Llp
DBA Doing business as
Authorized official Vanfdermolen, Matt Gordon Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 8th, 2020
Last updated Dec 8th, 2020 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356947030 NPPES
Illinois Other 0190019785 DENTAL LICENSE NUMBER FOR MATT G VANDERMOLEN DDS

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