Maple Shade Dental (East Peoria) Llc
LBN: Maple Shade Dental (East Peoria) Llc
Maple Shade Dental (East Peoria) Llc is an health care organization with primary practice located at 1001 Illini Dr , East Peoria IL 61611-1883. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Maple Shade Dental (East Peoria) Llc can be contacted via phone (309) 694-2620, or through Cole, Mike via phone (727) 726-1611.
Contact Information
Primary practice address
1001 Illini Dr
East Peoria IL 61611-1883
Phone: (309) 694-2620
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Dental Providers / Dentist | 122300000X |
Profile Details
NPI number | 1245522267 |
---|---|
LBN Legal business name | Maple Shade Dental (East Peoria) Llc |
DBA Doing business as | |
Authorized official | Cole, Mike |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | May 10th, 2011 |
Last updated | Mar 18th, 2024 - about 6 months 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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