My Geriatric Dentist

LBN: My Geriatric Dentist
My Geriatric Dentist is an health care organization with primary practice located at 2093 Rand Rd , Des Plaines IL 60016-4727. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. My Geriatric Dentist can be contacted via phone (847) 590-1880, or through Blumofe, Lisa via phone (847) 590-1880.

Contact Information

Primary practice address
2093 Rand Rd Des Plaines IL 60016-4727
Phone: (847) 590-1880
Fax: (708) 590-0868
Website:
Map and Directions
Authorized official contact:
Name: Blumofe, Lisa Doctor of Dental Surgery (DDS)
Phone: (847) 590-1880

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1366064594
LBN Legal business name My Geriatric Dentist
DBA Doing business as
Authorized official Blumofe, Lisa Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2020
Last updated May 11th, 2020 - 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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