Innova Family Dental

LBN: Kandimalla Dental Pllc
Innova Family Dental is an health care organization with primary practice located at 772 S Weber Rd , Bolingbrook IL 60490-5472. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / General Practice. Dental Providers / General Practice is the primary health care specialty. Kandimalla Dental Pllc can be contacted via phone (630) 518-2272, or through Kandimalla, Kalpana N via phone (630) 518-2272.

Contact Information

Primary practice address
772 S Weber Rd Bolingbrook IL 60490-5472
Phone: (630) 518-2272
Fax: (630) 243-4778
Website:
Map and Directions
Authorized official contact:
Name: Kandimalla, Kalpana N Doctor of Dental Surgery (DDS)
Phone: (630) 518-2272

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1558994392
LBN Legal business name Kandimalla Dental Pllc
DBA Doing business as Innova Family Dental
Authorized official Kandimalla, Kalpana N Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 20th, 2020
Last updated Jun 21st, 2022 - about 3 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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