Dental Dream Team Associates Llc Yetta Mccullom Sole Mbr

LBN: Dental Dream Team Associates Llc Yetta Mccullom Sole Mbr
Dental Dream Team Associates Llc Yetta Mccullom Sole Mbr is an health care organization with primary practice located at 820 E 87Th St Ste 201 , Chicago IL 60619-6256. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Dental Dream Team Associates Llc Yetta Mccullom Sole Mbr can be contacted via phone (773) 488-9072, or through Mccullom, Yetta G via phone (773) 488-9072.

Contact Information

Primary practice address
820 E 87Th St Ste 201 Chicago IL 60619-6256
Phone: (773) 488-9072
Fax: (888) 506-5697
Website:
Map and Directions
Authorized official contact:
Name: Mccullom, Yetta G Doctor of Dental Surgery (DDS)
Phone: (773) 488-9072

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1972145183
LBN Legal business name Dental Dream Team Associates Llc Yetta Mccullom Sole Mbr
DBA Doing business as
Authorized official Mccullom, Yetta G Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 9th, 2019
Last updated Oct 9th, 2019 - 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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