Pediatric Dentistry Ltd

LBN: Pediatric Dentistry Ltd
Pediatric Dentistry Ltd is an health care organization with primary practice located at 860 Summit St Suite 246, Elgin IL 60120-5145. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Pediatric Dentistry Ltd can be contacted via phone (847) 695-1693, or through Nickelsen, Dale Charles via phone (847) 695-1693.

Contact Information

Primary practice address
860 Summit St Suite 246 Elgin IL 60120-5145
Phone: (847) 695-1693
Fax: (847) 695-9212
Website:
Map and Directions
Authorized official contact:
Name: Nickelsen, Dale Charles Doctor of Dental Surgery (DDS)
Phone: (847) 695-1693

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X Illinois

Profile Details

NPI number 1952454878
LBN Legal business name Pediatric Dentistry Ltd
DBA Doing business as
Authorized official Nickelsen, Dale Charles Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 22nd, 2007
Last updated Aug 22nd, 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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