Affordable Dental Of Illnois

LBN: Edp Of Illinois P.C
Affordable Dental Of Illnois is an health care organization with primary practice located at 195 S Main St , Dupo IL 62239-1347. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Oral and Maxillofacial Surgery, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Edp Of Illinois P.C can be contacted via phone (312) 800-1270, or through Garibay, Melissa via phone (312) 736-8963.

Contact Information

Primary practice address
195 S Main St Dupo IL 62239-1347
Fax:
Website:
Authorized official contact:
Name: Garibay, Melissa

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021.001656 Illinois
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1154712784
LBN Legal business name Edp Of Illinois P.C
DBA Doing business as Affordable Dental Of Illnois
Authorized official Garibay, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Feb 18th, 2015
Last updated Sep 29th, 2021 - about 3 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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