Midwest Family Dentistry Pc

LBN: Midwest Family Dentistry Pc
Midwest Family Dentistry Pc is an health care organization with primary practice located at 3120 Maryville Rd , Granite City IL 62040-5119. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty. Midwest Family Dentistry Pc can be contacted via phone (618) 797-9940, or through Schuman-Boys, Laney Elayne via phone (618) 797-9940.

Contact Information

Primary practice address
3120 Maryville Rd Granite City IL 62040-5119
Fax:
Website:
Authorized official contact:
Name: Schuman-Boys, Laney Elayne Doctor of Dental Medicine (DMD)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019-023663 Illinois
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1558484410
LBN Legal business name Midwest Family Dentistry Pc
DBA Doing business as
Authorized official Schuman-Boys, Laney Elayne Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 7th, 2007
Last updated Aug 11th, 2015 - about 9 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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