The Dental Office At Melrose Park

LBN: Dimoulis Dental P.C.
The Dental Office At Melrose Park is an health care organization with primary practice located at 818 N 19Th Ave , Melrose Park IL 60160-3726. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery. Dental Providers / General Practice is the primary health care specialty. Dimoulis Dental P.C. can be contacted via phone (708) 450-1170, or through Dimoulis, Theodore Harry via phone (847) 651-2692.

Contact Information

Primary practice address
818 N 19Th Ave Melrose Park IL 60160-3726
Fax: (708) 450-0008
Website:
Authorized official contact:
Name: Dimoulis, Theodore Harry Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.030253 Illinois
Dental Providers / Periodontics 1223P0300X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X

Profile Details

NPI number 1811362791
LBN Legal business name Dimoulis Dental P.C.
DBA Doing business as The Dental Office At Melrose Park
Authorized official Dimoulis, Theodore Harry Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2015
Last updated Dec 3rd, 2015 - about 9 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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