Ifantis Dental Care

LBN: John G. Ifantis, Dds, Pc
Ifantis Dental Care is an health care organization with primary practice located at 9251 Waukegan Rd , Morton Grove IL 60053-2102. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. John G. Ifantis, Dds, Pc can be contacted via phone (847) 663-0003, or through Ifantis, John via phone (847) 663-0003.

Contact Information

Primary practice address
9251 Waukegan Rd Morton Grove IL 60053-2102
Phone: (847) 663-0003
Fax: (847) 663-0390
Website:
Map and Directions
Authorized official contact:
Name: Ifantis, John Doctor of Dental Surgery (DDS)
Phone: (847) 663-0003

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1891245015
LBN Legal business name John G. Ifantis, Dds, Pc
DBA Doing business as Ifantis Dental Care
Authorized official Ifantis, John Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 12th, 2016
Last updated Oct 12th, 2016 - about 8 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 1891245015 NPPES
Illinois MEDICAID 019024881

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