Andris Family Dental, Llc

LBN: Andris Family Dental, Llc
Andris Family Dental, Llc is an health care organization with primary practice located at 636 W Jefferson St , Morton IL 61550-1581. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Andris Family Dental, Llc can be contacted via phone (309) 263-8317, or through Andris, Ryan Wayne via phone (309) 263-8317.

Contact Information

Primary practice address
636 W Jefferson St Morton IL 61550-1581
Fax: (309) 263-2175
Website:
Authorized official contact:
Name: Andris, Ryan Wayne Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 019.029393 Illinois

Profile Details

NPI number 1225493034
LBN Legal business name Andris Family Dental, Llc
DBA Doing business as
Authorized official Andris, Ryan Wayne Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2015
Last updated Dec 21st, 2015 - about 9 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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