Children'S Center For Dentistry Pllc

LBN: Children'S Center For Dentistry Pllc
Children'S Center For Dentistry Pllc is an health care organization with primary practice located at 314 Susan Drive , Normal IL 61761. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Children'S Center For Dentistry Pllc can be contacted via phone (309) 827-5437, or through Dietz, Gregory M via phone (309) 827-5437.

Contact Information

Primary practice address
314 Susan Drive Normal IL 61761
Phone: (309) 827-5437
Fax: (309) 265-0288
Website:
Map and Directions
Authorized official contact:
Name: Dietz, Gregory M Doctor of Dental Medicine (DMD)
Phone: (309) 827-5437

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019027386 Illinois
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X 021002544 Illinois

Profile Details

NPI number 1285184259
LBN Legal business name Children'S Center For Dentistry Pllc
DBA Doing business as
Authorized official Dietz, Gregory M Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2016
Last updated May 28th, 2021 - 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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