Pine Dental Care

LBN: Pine Dental Care
Pine Dental Care is an health care organization with primary practice located at 2536 N Lincoln Ave , Chicago IL 60614-2889. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Pine Dental Care can be contacted via phone (773) 880-5455, or through Czerepak, Charles Stanley via phone (773) 880-5455.

Contact Information

Primary practice address
2536 N Lincoln Ave Chicago IL 60614-2889
Phone: (773) 880-5455
Fax: (773) 880-5809
Website:
Map and Directions
Authorized official contact:
Name: Czerepak, Charles Stanley Doctor of Dental Medicine (DMD)
Phone: (773) 880-5455

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X Illinois

Profile Details

NPI number 1649496514
LBN Legal business name Pine Dental Care
DBA Doing business as
Authorized official Czerepak, Charles Stanley Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 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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