Crystal Lake Pediatric Dental Ltd.

LBN: Crystal Lake Pediatric Dental Ltd.
Crystal Lake Pediatric Dental Ltd. is an health care organization with primary practice located at 820 E Terra Cotta Ave 111, Crystal Lake IL 60014-3649. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Crystal Lake Pediatric Dental Ltd. can be contacted via phone (815) 356-7960, or through Minutillo, Anthony Louis via phone (815) 356-7960.

Contact Information

Primary practice address
820 E Terra Cotta Ave 111 Crystal Lake IL 60014-3649
Phone: (815) 356-7960
Fax: (815) 356-8051
Website:
Map and Directions
Authorized official contact:
Name: Minutillo, Anthony Louis DDS,MSD
Phone: (815) 356-7960

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X Illinois

Profile Details

NPI number 1043311681
LBN Legal business name Crystal Lake Pediatric Dental Ltd.
DBA Doing business as
Authorized official Minutillo, Anthony Louis DDS,MSD
Entity Organization
Organization subpart 1 No
Enumeration date Sep 26th, 2006
Last updated Aug 22nd, 2020 - about 5 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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