Orland Advanced Dentistry
LBN: Asfour Dental Inc
Orland Advanced Dentistry is an health care organization with primary practice located at 11315 W 143Rd St , Orland Park IL 60467-7221. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Asfour Dental Inc can be contacted via phone (708) 364-0900, or through Asfour, Sawsan via phone (708) 364-0900.
Contact Information
Primary practice address
11315 W 143Rd St
Orland Park IL 60467-7221
Phone: (708) 364-0900
Fax: (708) 364-0909
Website:
Authorized official contact:
Name: Asfour, Sawsan Doctor of Dental Surgery (DDS)
Phone: (708) 364-0900
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / General Practice | 1223G0001X | 019024297 | Illinois |
Profile Details
NPI number | 1295988202 |
---|---|
LBN Legal business name | Asfour Dental Inc |
DBA Doing business as | Orland Advanced Dentistry |
Authorized official | Asfour, Sawsan Doctor of Dental Surgery (DDS) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Nov 4th, 2008 |
Last updated | Nov 4th, 2008 - about 16 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 | 1295988202 | NPPES |
Illinois | MEDICAID | 019026013/920038 | |
Illinois | MEDICAID | 019024297/1001093 |
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