Peoria Dental Llc

LBN: Peoria Dental Llc
Peoria Dental Llc is an health care organization with primary practice located at 7417 N Knoxville Ave , Peoria IL 61614-2019. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Peoria Dental Llc can be contacted via phone (309) 981-5995, or through Bares, Scott C via phone (309) 981-5995.

Contact Information

Primary practice address
7417 N Knoxville Ave Peoria IL 61614-2019
Phone: (309) 981-5995
Fax: (309) 981-5981
Website:
Map and Directions
Authorized official contact:
Name: Bares, Scott C Doctor of Dental Surgery (DDS)
Phone: (309) 981-5995

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1992202139
LBN Legal business name Peoria Dental Llc
DBA Doing business as
Authorized official Bares, Scott C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 12th, 2018
Last updated Apr 12th, 2018 - about 7 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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