Advanced Dentistry At Morton Grove
LBN: Advanced Dentistry At Morton Grove
Advanced Dentistry At Morton Grove is an health care organization with primary practice located at 5821 Dempster St , Morton Grove IL 60053-3028. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Advanced Dentistry At Morton Grove can be contacted via phone (847) 581-1942, or through Sanei, Behzad via phone (773) 383-0868.
Contact Information
Primary practice address
5821 Dempster St
Morton Grove IL 60053-3028
Phone: (847) 581-1942
Fax: (847) 581-1943
Website:
Authorized official contact:
Name: Sanei, Behzad Doctor of Dental Medicine (DMD)
Phone: (773) 383-0868
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X | 019.027311 | Illinois |
Profile Details
NPI number | 1184866329 |
---|---|
LBN Legal business name | Advanced Dentistry At Morton Grove |
DBA Doing business as | |
Authorized official | Sanei, Behzad Doctor of Dental Medicine (DMD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 2nd, 2009 |
Last updated | Mar 11th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1184866329 | NPPES |
Illinois | MEDICAID | 195558 |
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