Cedar Creek Dental Pllc

LBN: Cedar Creek Dental Pllc
Cedar Creek Dental Pllc is an health care organization with primary practice located at 380 Suppiger Way # A , Highland IL 62249-1103. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Cedar Creek Dental Pllc can be contacted via phone (618) 654-4551, or through Crutcher, Jared via phone (618) 654-4551.

Contact Information

Primary practice address
380 Suppiger Way # A Highland IL 62249-1103
Phone: (618) 654-4551
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Crutcher, Jared Doctor of Dental Medicine (DMD)
Phone: (618) 654-4551

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1063132926
LBN Legal business name Cedar Creek Dental Pllc
DBA Doing business as
Authorized official Crutcher, Jared Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2022
Last updated Sep 20th, 2022 - about 3 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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