Main Street Square Dental, Llc

LBN: Main Street Square Dental, Llc
Main Street Square Dental, Llc is an health care organization with primary practice located at 2932 Finley Rd , Downers Grove IL 60515-1042. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Main Street Square Dental, Llc can be contacted via phone (630) 629-6299, or through Peterson, Robert via phone (847) 624-6700.

Contact Information

Primary practice address
2932 Finley Rd Downers Grove IL 60515-1042
Phone: (630) 629-6299
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Robert Doctor of Dental Medicine (DMD)
Phone: (847) 624-6700

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1720623325
LBN Legal business name Main Street Square Dental, Llc
DBA Doing business as
Authorized official Peterson, Robert Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 7th, 2019
Last updated Nov 7th, 2019 - about 5 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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