Performance Dental Care Pc

LBN: Performance Dental Care Pc
Performance Dental Care Pc is an health care organization with primary practice located at 7230 191St St , Tinley Park IL 60487-9378. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Performance Dental Care Pc can be contacted via phone (815) 464-8850, or through Fatland, Kevin L via phone (815) 464-8850.

Contact Information

Primary practice address
7230 191St St Tinley Park IL 60487-9378
Phone: (815) 464-8850
Fax: (708) 777-4797
Website:
Map and Directions
Authorized official contact:
Name: Fatland, Kevin L Doctor of Dental Medicine (DMD)
Phone: (815) 464-8850

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019025070 Illinois

Profile Details

NPI number 1942377908
LBN Legal business name Performance Dental Care Pc
DBA Doing business as
Authorized official Fatland, Kevin L Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2006
Last updated Aug 28th, 2015 - about 10 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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