Family Dental Care

LBN: Fhn Memorial Enterprises
Family Dental Care is an health care organization with primary practice located at 1768 S Rosenstiel Dr , Freeport IL 61032. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Fhn Memorial Enterprises can be contacted via phone (815) 235-2600, or through Perry, Michael via phone (815) 235-2600.

Contact Information

Primary practice address
1768 S Rosenstiel Dr Freeport IL 61032
Phone: (815) 235-2600
Fax: (815) 235-9846
Website:
Map and Directions
Authorized official contact:
Name: Perry, Michael Doctor of Medicine (MD)
Phone: (815) 235-2600

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1649210352
LBN Legal business name Fhn Memorial Enterprises
DBA Doing business as Family Dental Care
Authorized official Perry, Michael Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 8th, 2006
Last updated Aug 22nd, 2020 - about 4 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 1649210352 NPPES
Illinois MEDICAID 1005536
Illinois MEDICAID 9177538
Illinois MEDICAID 9178466
Illinois MEDICAID 1004800

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