Katy Dental, Inc.

LBN: Katy Dental, Inc.
Katy Dental, Inc. is an health care organization with primary practice located at 3510 Hobson Rd Suite 302, Woodridge IL 60517-1439. The organization recently has only one registered license in Managed Care Organizations / Health Maintenance Organization, which is considered as the primary health care specialty. Katy Dental, Inc. can be contacted via phone (630) 971-3626, or through Villasenor, Martha Catalina via phone (708) 601-5081.

Contact Information

Primary practice address
3510 Hobson Rd Suite 302 Woodridge IL 60517-1439
Phone: (630) 971-3626
Fax: (630) 971-3752
Website:
Map and Directions
Authorized official contact:
Name: Villasenor, Martha Catalina Doctor of Dental Surgery (DDS)
Phone: (708) 601-5081

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Health Maintenance Organization 302R00000X 019024012 Illinois

Profile Details

NPI number 1285067298
LBN Legal business name Katy Dental, Inc.
DBA Doing business as
Authorized official Villasenor, Martha Catalina Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 13th, 2013
Last updated Aug 13th, 2013 - about 12 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 1285067298 NPPES
Illinois MEDICAID 019024012

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