162Nd Street Dental

LBN: Dr Sam Dmd Pc
162Nd Street Dental is an health care organization with primary practice located at 1022 E 162Nd St , South Holland IL 60473-2560. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Dr Sam Dmd Pc can be contacted via phone (312) 493-6089, or through Osobu, Samuel via phone (312) 493-6089.

Contact Information

Primary practice address
1022 E 162Nd St South Holland IL 60473-2560
Phone: (312) 493-6089
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Osobu, Samuel
Phone: (312) 493-6089

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 019030498 Illinois

Profile Details

NPI number 1366975419
LBN Legal business name Dr Sam Dmd Pc
DBA Doing business as 162Nd Street Dental
Authorized official Osobu, Samuel
Entity Organization
Organization subpart 1 No
Enumeration date Apr 6th, 2017
Last updated Apr 6th, 2017 - about 8 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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