Hickory Dentistry Llc

LBN: Hickory Dentistry Llc
Hickory Dentistry Llc is an health care organization with primary practice located at 8071 W 95Th St , Hickory Hills IL 60457-2241. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Ambulatory Health Care Facilities / Dental. Dental Providers / General Practice is the primary health care specialty. Hickory Dentistry Llc can be contacted via phone (630) 247-7216, or through Dommaraju, Prasanth via phone (630) 247-7216.

Contact Information

Primary practice address
8071 W 95Th St Hickory Hills IL 60457-2241
Phone: (630) 247-7216
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Dommaraju, Prasanth
Phone: (630) 247-7216

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1275131948
LBN Legal business name Hickory Dentistry Llc
DBA Doing business as
Authorized official Dommaraju, Prasanth
Entity Organization
Organization subpart 1 No
Enumeration date Oct 14th, 2020
Last updated Oct 14th, 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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