Blue Island Smiles Family Dentistry

LBN: Blue Island Smiles Pc
Blue Island Smiles Family Dentistry is an health care organization with primary practice located at 12059 Western Avenue , Blue Island IL 60406. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.

Contact Information

Primary practice address
12059 Western Avenue Blue Island IL 60406
Phone:
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Nagaraj, Abhishek Doctor of Dental Surgery (DDS)
Phone: (708) 371-3844

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1942842810
LBN Legal business name Blue Island Smiles Pc
DBA Doing business as Blue Island Smiles Family Dentistry
Authorized official Nagaraj, Abhishek Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2019
Last updated Aug 24th, 2020 - about 4 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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