Donald C. Kellner Dds-Wood Dale Pc
LBN: Donald C. Kellner Dds-Wood Dale Pc
Donald C. Kellner Dds-Wood Dale Pc is an health care organization with primary practice located at 333 North Wood Dale Rd Suite A, Wood Dale IL 60191. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Donald C. Kellner Dds-Wood Dale Pc can be contacted via phone (630) 860-9100, or through Kellner, Donald C. via phone (630) 860-9100.
Contact Information
Primary practice address
333 North Wood Dale Rd Suite A
Wood Dale IL 60191
Phone: (630) 860-9100
Fax: (630) 787-0662
Website:
Authorized official contact:
Name: Kellner, Donald C. Doctor of Dental Surgery (DDS)
Phone: (630) 860-9100
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 019017632 | Illinois |
| Dental Providers / Dentist | 122300000X | 019024905 | Illinois |
| Dental Providers / Dentist | 122300000X | 019026111 | Illinois |
| Dental Providers / Dentist | 122300000X | 019028094 | Illinois |
| Dental Providers / Dentist | 122300000X | 021001200 | Illinois |
Profile Details
| NPI number | 1013283985 |
|---|---|
| LBN Legal business name | Donald C. Kellner Dds-Wood Dale Pc |
| DBA Doing business as | |
| Authorized official | Kellner, Donald C. Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 26th, 2012 |
| Last updated | Mar 26th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013283985 | NPPES |
| Illinois | MEDICAID | 019017632 |
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