Innovative Pediatric Dentistry

LBN: Innovative Pediatric Dentistry
Innovative Pediatric Dentistry is an health care organization with primary practice located at 55 S Main St Ste 241 , Naperville IL 60540-5377. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Innovative Pediatric Dentistry can be contacted via phone (630) 848-2010, or through Lavacca, Anthony via phone (630) 848-2010.

Contact Information

Primary practice address
55 S Main St Ste 241 Naperville IL 60540-5377
Phone: (630) 848-2010
Fax: (630) 848-2011
Website:
Map and Directions
Authorized official contact:
Name: Lavacca, Anthony Doctor of Dental Medicine (DMD)
Phone: (630) 848-2010

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 4744296 Illinois

Profile Details

NPI number 1447644802
LBN Legal business name Innovative Pediatric Dentistry
DBA Doing business as
Authorized official Lavacca, Anthony Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 24th, 2015
Last updated Mar 24th, 2015 - about 10 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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