Forest City Dental Pc

LBN: Forest City Dental Pc
Forest City Dental Pc is an health care organization with primary practice located at 1855 Daimler Rd , Rockford IL 61112-1063. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty. Forest City Dental Pc can be contacted via phone (815) 397-7454, or through Stovall, James Randol via phone (815) 397-7454.

Contact Information

Primary practice address
1855 Daimler Rd Rockford IL 61112-1063
Phone: (815) 397-7454
Fax: (815) 397-7555
Website:
Map and Directions
Authorized official contact:
Name: Stovall, James Randol Doctor of Dental Surgery (DDS)
Phone: (815) 397-7454

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019026159 Illinois
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1457801755
LBN Legal business name Forest City Dental Pc
DBA Doing business as
Authorized official Stovall, James Randol Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 11th, 2016
Last updated Dec 20th, 2016 - about 9 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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