Central Illinois Center For Tmj And Facial Pain, P.C.

LBN: Central Illinois Center For Tmj And Facial Pain, P.C.
Central Illinois Center For Tmj And Facial Pain, P.C. is an health care organization with primary practice located at 731 Sabrina Dr Suite A, East Peoria IL 61611-3581. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Central Illinois Center For Tmj And Facial Pain, P.C. can be contacted via phone (309) 699-1300, or through Walz, Jack Glenn via phone (309) 699-1300.

Contact Information

Primary practice address
731 Sabrina Dr Suite A East Peoria IL 61611-3581
Phone: (309) 699-1300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Walz, Jack Glenn Doctor of Dental Surgery (DDS)
Phone: (309) 699-1300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019021995 Illinois

Profile Details

NPI number 1346546421
LBN Legal business name Central Illinois Center For Tmj And Facial Pain, P.C.
DBA Doing business as
Authorized official Walz, Jack Glenn Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 7th, 2011
Last updated Sep 30th, 2013 - about 11 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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