Fairfield Dental

LBN: Fairfield Dental
Fairfield Dental is an health care organization with primary practice located at 732 N Fairfield Rd , Round Lake IL 60073-8160. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Fairfield Dental can be contacted via phone (847) 740-4100, or through Korovilas, George via phone (773) 740-4100.

Contact Information

Primary practice address
732 N Fairfield Rd Round Lake IL 60073-8160
Phone: (847) 740-4100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Korovilas, George Doctor of Dental Surgery (DDS)
Phone: (773) 740-4100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019023746 Illinois

Profile Details

NPI number 1629347497
LBN Legal business name Fairfield Dental
DBA Doing business as
Authorized official Korovilas, George Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 22nd, 2011
Last updated Dec 22nd, 2011 - about 13 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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