Effingham Family Dental Ltd

LBN: Effingham Family Dental Ltd
Effingham Family Dental Ltd is an health care organization with primary practice located at 310 W Jefferson Ave , Effingham IL 62401-2348. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Effingham Family Dental Ltd can be contacted via phone (217) 342-3850, or through Stevenson, Jeffrey Roger via phone (217) 342-3850.

Contact Information

Primary practice address
310 W Jefferson Ave Effingham IL 62401-2348
Phone: (217) 342-3850
Fax: (217) 342-3891
Website:
Map and Directions
Authorized official contact:
Name: Stevenson, Jeffrey Roger Doctor of Dental Surgery (DDS)
Phone: (217) 342-3850

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019023431 Illinois

Profile Details

NPI number 1588100325
LBN Legal business name Effingham Family Dental Ltd
DBA Doing business as
Authorized official Stevenson, Jeffrey Roger Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 18th, 2017
Last updated Jan 18th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1588100325 NPPES
Illinois MEDICAID 1437378098

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