Crystal Lake Family Dental

LBN: Crystal Lake Family Dental
Crystal Lake Family Dental is an health care organization with primary practice located at 651 W Terra Cotta Ave Suite 201, Crystal Lake IL 60014-3404. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Crystal Lake Family Dental can be contacted via phone (630) 339-3172, or through Acierno, Alan J via phone (630) 339-3172.

Contact Information

Primary practice address
651 W Terra Cotta Ave Suite 201 Crystal Lake IL 60014-3404
Phone: (630) 339-3172
Fax: (847) 891-6775
Website:
Map and Directions
Authorized official contact:
Name: Acierno, Alan J Doctor of Dental Surgery (DDS)
Phone: (630) 339-3172

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1154761492
LBN Legal business name Crystal Lake Family Dental
DBA Doing business as
Authorized official Acierno, Alan J Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 1st, 2013
Last updated Jul 1st, 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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