Niles Dental Care P.C.
LBN: Niles Dental Care P.C.
Niles Dental Care P.C. is an health care organization with primary practice located at 8031 N Milwaukee Ave , Niles IL 60714-2827. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Dental Hygienist. Dental Providers / Dentist is the primary health care specialty.
Niles Dental Care P.C. can be contacted via phone (847) 470-0240, or through Sandusky, Robert Arthur via phone (847) 470-0240.
Contact Information
Primary practice address
8031 N Milwaukee Ave
Niles IL 60714-2827
Phone: (847) 470-0240
Fax:
Website:
Authorized official contact:
Name: Sandusky, Robert Arthur Doctor of Dental Surgery (DDS)
Phone: (847) 470-0240
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | Illinois | |
| Dental Providers / Dental Hygienist | 124Q00000X | Illinois |
Profile Details
| NPI number | 1780127480 |
|---|---|
| LBN Legal business name | Niles Dental Care P.C. |
| DBA Doing business as | Niles Dental Care P.C. |
| Authorized official | Sandusky, Robert Arthur Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 29th, 2016 |
| Last updated | Nov 29th, 2016 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1780127480 | NPPES |
| Illinois | MEDICAID | 1205056413 |
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