Periodontal Medicine And Surgical Specialists, Ltd

LBN: Periodontal Medicine And Surgical Specialists, Llc
Periodontal Medicine And Surgical Specialists, Ltd is an health care organization with primary practice located at 1S224 Summit Ave Suite 205, Oakbrook Terrace IL 60181-3983. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Periodontics, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Periodontal Medicine And Surgical Specialists, Llc can be contacted via phone (630) 627-3930, or through Mandelaris, George A via phone (630) 627-3930.

Contact Information

Primary practice address
1S224 Summit Ave Suite 205 Oakbrook Terrace IL 60181-3983
Phone: (630) 627-3930
Fax: (630) 627-2148
Website:
Map and Directions
Authorized official contact:
Name: Mandelaris, George A Doctor of Dental Surgery (DDS)
Phone: (630) 627-3930

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 019024971 Illinois
Dental Providers / Periodontics 1223P0300X 019014972 Illinois
Dental Providers / Periodontics 1223P0300X 019030200 Illinois
Ambulatory Health Care Facilities / Dental 261QD0000X 060-003629 Illinois

Profile Details

NPI number 1811036718
LBN Legal business name Periodontal Medicine And Surgical Specialists, Llc
DBA Doing business as Periodontal Medicine And Surgical Specialists, Ltd
Authorized official Mandelaris, George A Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 6th, 2007
Last updated Dec 16th, 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.

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