Associated Dental Specialists Of Long Grove Ltd

LBN: Associated Dental Specialists Of Long Grove Ltd
Associated Dental Specialists Of Long Grove Ltd is an health care organization with primary practice located at Rfd 4160 Grove Medical Center Suite 308, Long Grove IL 60047-9586. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Associated Dental Specialists Of Long Grove Ltd can be contacted via phone (847) 634-6166, or through Cannon, Mark L via phone (847) 634-6166.

Contact Information

Primary practice address
Rfd 4160 Grove Medical Center Suite 308 Long Grove IL 60047-9586
Phone: (847) 634-6166
Fax: (846) 634-6302
Website:
Map and Directions
Authorized official contact:
Name: Cannon, Mark L Doctor of Dental Surgery (DDS)
Phone: (847) 634-6166

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 060.003411019.021533 Illinois

Profile Details

NPI number 1033383567
LBN Legal business name Associated Dental Specialists Of Long Grove Ltd
DBA Doing business as
Authorized official Cannon, Mark L Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 16th, 2008
Last updated Apr 16th, 2008 - about 17 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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