Affinity Family Dental Champaign

LBN: Affinity Dental Champaign Llc
Affinity Family Dental Champaign is an health care organization with primary practice located at 2918 Crossing Ct Ste A , Champaign IL 61822-6100. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Affinity Dental Champaign Llc can be contacted via phone (217) 298-7999, or through Durshanapalli, Srinivas via phone (217) 298-7999.

Contact Information

Primary practice address
2918 Crossing Ct Ste A Champaign IL 61822-6100
Fax: (217) 888-3899
Website:
Authorized official contact:
Name: Durshanapalli, Srinivas Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1770359515
LBN Legal business name Affinity Dental Champaign Llc
DBA Doing business as Affinity Family Dental Champaign
Authorized official Durshanapalli, Srinivas Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2023
Last updated Jan 23rd, 2024 - about last year

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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