Euclid Advanced Dentistry, P.C

LBN: Euclid Advanced Dentistry, P.C
Euclid Advanced Dentistry, P.C is an health care organization with primary practice located at 409 E Euclid Ave Ste B , Mount Prospect IL 60056-1214. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Periodontics. Dental Providers / Dentist is the primary health care specialty. Euclid Advanced Dentistry, P.C can be contacted via phone (847) 368-0200, or through Khan, Saba via phone (847) 368-0200.

Contact Information

Primary practice address
409 E Euclid Ave Ste B Mount Prospect IL 60056-1214
Phone: (847) 368-0200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Khan, Saba
Phone: (847) 368-0200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019027311 Illinois
Dental Providers / Periodontics 1223P0300X 021002216 Illinois

Profile Details

NPI number 1093954091
LBN Legal business name Euclid Advanced Dentistry, P.C
DBA Doing business as
Authorized official Khan, Saba
Entity Organization
Organization subpart 1 No
Enumeration date Feb 13th, 2009
Last updated Feb 13th, 2009 - about 15 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 1093954091 NPPES
Illinois MEDICAID 195558

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