Glen Ellyn Orthodontic Associates, P.C.

LBN: Glen Ellyn Orthodontic Associates, P.C.
Glen Ellyn Orthodontic Associates, P.C. is an health care organization with primary practice located at 507 Duane St , Glen Ellyn IL 60137-4549. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Glen Ellyn Orthodontic Associates, P.C. can be contacted via phone (630) 469-5225, or through Prince, Douglas Robert via phone (630) 469-5225.

Contact Information

Primary practice address
507 Duane St Glen Ellyn IL 60137-4549
Phone: (630) 469-5225
Fax: (630) 469-5443
Website:
Map and Directions
Authorized official contact:
Name: Prince, Douglas Robert DDS,MS,PC
Phone: (630) 469-5225

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 019-014235 Illinois

Profile Details

NPI number 1811107998
LBN Legal business name Glen Ellyn Orthodontic Associates, P.C.
DBA Doing business as
Authorized official Prince, Douglas Robert DDS,MS,PC
Entity Organization
Organization subpart 1 No
Enumeration date May 23rd, 2007
Last updated Jan 8th, 2009 - about 16 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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