James P Kanellos Dds

LBN: Demp Fern Mg Dental Corp.
James P Kanellos Dds is an health care organization with primary practice located at 6223 Dempster St , Morton Grove IL 60053-2818. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Demp Fern Mg Dental Corp. can be contacted via phone (847) 966-8000, or through Kanellos, James P via phone (312) 391-7529.

Contact Information

Primary practice address
6223 Dempster St Morton Grove IL 60053-2818
Fax: (847) 832-1687
Website:
Authorized official contact:
Name: Kanellos, James P Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1649602632
LBN Legal business name Demp Fern Mg Dental Corp.
DBA Doing business as James P Kanellos Dds
Authorized official Kanellos, James P Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 1st, 2013
Last updated Aug 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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