Michael Degould Dds Pc

LBN: Michael Degould Dds Pc
Michael Degould Dds Pc is an health care organization with primary practice located at 2835 Mcfarland Road Suite C, Rockford IL 61107. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Michael Degould Dds Pc can be contacted via phone (815) 654-0039, or through Degould, Michael David via phone (815) 654-0039.

Contact Information

Primary practice address
2835 Mcfarland Road Suite C Rockford IL 61107
Phone: (815) 654-0039
Fax: (815) 654-0650
Website:
Map and Directions
Authorized official contact:
Name: Degould, Michael David Doctor of Dental Surgery (DDS)
Phone: (815) 654-0039

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 021001500 Illinois

Profile Details

NPI number 1346318532
LBN Legal business name Michael Degould Dds Pc
DBA Doing business as
Authorized official Degould, Michael David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 4th, 2006
Last updated Jan 28th, 2013 - about 11 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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