Healthy Tooth Dental, Llc

LBN: Healthy Tooth Dental, Llc
Healthy Tooth Dental, Llc is an health care organization with primary practice located at 719 Lake St , Oak Park IL 60301-1406. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Healthy Tooth Dental, Llc can be contacted via phone (708) 386-3200, or through Lopez, Edward D via phone (708) 386-3200.

Contact Information

Primary practice address
719 Lake St Oak Park IL 60301-1406
Phone: (708) 386-3200
Fax: (708) 386-3206
Website:
Map and Directions
Authorized official contact:
Name: Lopez, Edward D
Phone: (708) 386-3200

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019027665 Illinois

Profile Details

NPI number 1669706800
LBN Legal business name Healthy Tooth Dental, Llc
DBA Doing business as
Authorized official Lopez, Edward D
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2009
Last updated Dec 3rd, 2013 - about 11 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 1669706800 NPPES
Illinois MEDICAID 1861651622

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