Janesville Endodontics

LBN: Janesville Endodontics
Janesville Endodontics is an health care organization with primary practice located at 1616 N Randall Ave Ste 180 , Janesville WI 53545-1155. The organization recently has only one registered license in Dental Providers / Endodontics, which is considered as the primary health care specialty. Janesville Endodontics can be contacted via phone (608) 314-9000, or through Sulim, Sofya via phone (414) 520-2228.

Contact Information

Primary practice address
1616 N Randall Ave Ste 180 Janesville WI 53545-1155
Phone: (608) 314-9000
Fax: (608) 314-3241
Website:
Map and Directions
Authorized official contact:
Name: Sulim, Sofya
Phone: (414) 520-2228

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X

Profile Details

NPI number 1891319273
LBN Legal business name Janesville Endodontics
DBA Doing business as
Authorized official Sulim, Sofya
Entity Organization
Organization subpart 1 No
Enumeration date Jun 2nd, 2020
Last updated Jun 2nd, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1891319273 NPPES
Wisconsin Other 1001926 STATE LICENSE
Wisconsin Other 1316415086 STATE LICENSE

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