Lincoln Place Dental Pc

LBN: Lincoln Place Dental Pc
Lincoln Place Dental Pc is an health care organization with primary practice located at 114 Lincoln Place Ct , Belleville IL 62221-5884. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lincoln Place Dental Pc can be contacted via phone (618) 257-9189, or through Dortch, Gerald Wayne via phone (618) 257-9189.

Contact Information

Primary practice address
114 Lincoln Place Ct Belleville IL 62221-5884
Phone: (618) 257-9189
Fax: (618) 257-9253
Website:
Map and Directions
Authorized official contact:
Name: Dortch, Gerald Wayne Doctor of Dental Medicine (DMD)
Phone: (618) 257-9189

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019016287 Illinois

Profile Details

NPI number 1417221532
LBN Legal business name Lincoln Place Dental Pc
DBA Doing business as
Authorized official Dortch, Gerald Wayne Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2012
Last updated Mar 7th, 2012 - about 13 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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