Bryan R Blazer Dds Pc

LBN: Bryan R Blazer Dds Pc
Bryan R Blazer Dds Pc is an health care organization with primary practice located at 431 Summit St Ste 105 , Elgin IL 60120-3861. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Bryan R Blazer Dds Pc can be contacted via phone (847) 742-6717, or through Blazer, Bryan R via phone (847) 742-6717.

Contact Information

Primary practice address
431 Summit St Ste 105 Elgin IL 60120-3861
Phone: (847) 742-6717
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Blazer, Bryan R Doctor of Dental Surgery (DDS)
Phone: (847) 742-6717

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 019.028688 Illinois

Profile Details

NPI number 1578009577
LBN Legal business name Bryan R Blazer Dds Pc
DBA Doing business as
Authorized official Blazer, Bryan R Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 13th, 2017
Last updated Jan 13th, 2017 - 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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