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
Fax: (847) 581-1943
Website:
Authorized official contact:
Name: Sanei, Behzad Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1184866329 NPPES
Illinois MEDICAID 195558

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