Placida

LBN: Deepa Sridhar P.C
Placida is an health care organization with primary practice located at 217 S Bolingbrook Dr , Bolingbrook IL 60440-2931. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Deepa Sridhar P.C can be contacted via phone (630) 313-4918, or through Sridhar, Deepa via phone (630) 313-4918.

Contact Information

Primary practice address
217 S Bolingbrook Dr Bolingbrook IL 60440-2931
Phone: (630) 313-4918
Fax: (630) 626-4784
Website:
Map and Directions
Authorized official contact:
Name: Sridhar, Deepa Doctor of Dental Medicine (DMD)
Phone: (630) 313-4918

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019026471 Illinois

Profile Details

NPI number 1659762631
LBN Legal business name Deepa Sridhar P.C
DBA Doing business as Placida
Authorized official Sridhar, Deepa Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 11th, 2015
Last updated Feb 11th, 2015 - about 10 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 1659762631 NPPES
Illinois MEDICAID 9178432

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