Artisan Dental Group

LBN: Artisan Dental Group Of Illinois Llc
Artisan Dental Group is an health care organization with primary practice located at 649 N 1St Bank Dr , Palatine IL 60067-8111. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty. Artisan Dental Group Of Illinois Llc can be contacted via phone (847) 934-4200, or through Maddalozzo, Donna via phone (847) 934-4280.

Contact Information

Primary practice address
649 N 1St Bank Dr Palatine IL 60067-8111
Phone: (847) 934-4200
Fax: (847) 934-4294
Website:
Map and Directions
Authorized official contact:
Name: Maddalozzo, Donna DDS, M.S.
Phone: (847) 934-4280

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019019961 Illinois
Dental Providers / General Practice 1223G0001X 019019847 Illinois
Dental Providers / General Practice 1223G0001X 019021223 Illinois
Dental Providers / Periodontics 1223P0300X 021001430 Illinois
Dental Providers / Periodontics 1223P0300X 021001354 Illinois
Dental Providers / Periodontics 1223P0300X 021001510 Illinois

Profile Details

NPI number 1619412087
LBN Legal business name Artisan Dental Group Of Illinois Llc
DBA Doing business as Artisan Dental Group
Authorized official Maddalozzo, Donna DDS, M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 21st, 2016
Last updated Dec 21st, 2016 - about 8 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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