Modern Dental Of Rockford Llc

LBN: Modern Dental Of Rockford Llc
Modern Dental Of Rockford Llc is an health care organization with primary practice located at 1321 Sandy Hollow Rd , Rockford IL 61109-2120. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Modern Dental Of Rockford Llc can be contacted via phone (815) 209-9070, or through Thomas, Jeff via phone (618) 532-4902.

Contact Information

Primary practice address
1321 Sandy Hollow Rd Rockford IL 61109-2120
Phone: (815) 209-9070
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Thomas, Jeff
Phone: (618) 532-4902

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1346563525
LBN Legal business name Modern Dental Of Rockford Llc
DBA Doing business as
Authorized official Thomas, Jeff
Entity Organization
Organization subpart 1 No
Enumeration date Mar 2nd, 2010
Last updated Mar 2nd, 2010 - about 15 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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