Distinctive Dentistry

LBN: Chicago Dental Spa, Ltd.
Distinctive Dentistry is an health care organization with primary practice located at 106 S Ridgeland Ave #408, Oak Park IL 60302-4613. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Chicago Dental Spa, Ltd. can be contacted via phone (312) 545-8671, or through Magno, Conrad via phone (312) 545-8671.

Contact Information

Primary practice address
106 S Ridgeland Ave #408 Oak Park IL 60302-4613
Phone: (312) 545-8671
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Magno, Conrad Doctor of Dental Surgery (DDS)
Phone: (312) 545-8671

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.026625 Illinois

Profile Details

NPI number 1851529382
LBN Legal business name Chicago Dental Spa, Ltd.
DBA Doing business as Distinctive Dentistry
Authorized official Magno, Conrad Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 23rd, 2009
Last updated Jun 23rd, 2009 - about 15 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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