Charles H. Ekstrom D.D.S., P.C.

LBN: Cynthia M. Sachs D.D.S., P.C.
Charles H. Ekstrom D.D.S., P.C. is an health care organization with primary practice located at 2841 Glenwood Ave , Rockford IL 61101-3542. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Cynthia M. Sachs D.D.S., P.C. can be contacted via phone (815) 963-1731, or through Sachs, Cynthia Marie via phone (815) 963-1731.

Contact Information

Primary practice address
2841 Glenwood Ave Rockford IL 61101-3542
Fax: (815) 964-4415
Website:
Authorized official contact:
Name: Sachs, Cynthia Marie Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-022280 Illinois

Profile Details

NPI number 1922272939
LBN Legal business name Cynthia M. Sachs D.D.S., P.C.
DBA Doing business as Charles H. Ekstrom D.D.S., P.C.
Authorized official Sachs, Cynthia Marie Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 22nd, 2008
Last updated Apr 22nd, 2008 - about 16 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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Identifiers

StateTypeNumberIssuer
All States NPI 1922272939 NPPES
Illinois MEDICAID 1003559

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