Northgate Family Dental

LBN: Dental Professionals Of Illinois, P.C.
Northgate Family Dental is an health care organization with primary practice located at 3412 W Willow Knolls Road Suite A, Peoria IL 61614. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dental Professionals Of Illinois, P.C. can be contacted via phone (309) 690-3262, or through Bearden, Lindsay via phone (217) 540-5100.

Contact Information

Primary practice address
3412 W Willow Knolls Road Suite A Peoria IL 61614
Fax: (309) 693-8295
Website:
Authorized official contact:
Name: Bearden, Lindsay

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1376765818
LBN Legal business name Dental Professionals Of Illinois, P.C.
DBA Doing business as Northgate Family Dental
Authorized official Bearden, Lindsay
Entity Organization
Organization subpart 1 Yes
Enumeration date May 3rd, 2007
Last updated Jan 8th, 2014 - 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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