City Kids Dental, Pc

LBN: City Kids Dental, Pc
City Kids Dental, Pc is an health care organization with primary practice located at 4700 N Western Ave Suite 1A, Chicago IL 60625-2081. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. City Kids Dental, Pc can be contacted via phone (773) 293-2700, or through Tierney, Mary Elizabeth via phone (773) 293-2700.

Contact Information

Primary practice address
4700 N Western Ave Suite 1A Chicago IL 60625-2081
Fax: (773) 293-3854
Website:
Authorized official contact:
Name: Tierney, Mary Elizabeth D.D.S., M.S.

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X Illinois

Profile Details

NPI number 1013068972
LBN Legal business name City Kids Dental, Pc
DBA Doing business as
Authorized official Tierney, Mary Elizabeth D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Jan 16th, 2007
Last updated Aug 22nd, 2020 - 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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