Associated Dental Specialists Of Long Grove

LBN: Professional Dental Alliance Of Illinois Specialty, Pllc
Associated Dental Specialists Of Long Grove is an health care organization with primary practice located at 4160 Il Route 83 Ste 308 , Long Grove IL 60047-8034. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. Professional Dental Alliance Of Illinois Specialty, Pllc can be contacted via phone (847) 634-6166, or through Quinteros, Erica via phone (724) 901-1964.

Contact Information

Primary practice address
4160 Il Route 83 Ste 308 Long Grove IL 60047-8034
Phone: (847) 634-6166
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Quinteros, Erica
Phone: (724) 901-1964

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1558145227
LBN Legal business name Professional Dental Alliance Of Illinois Specialty, Pllc
DBA Doing business as Associated Dental Specialists Of Long Grove
Authorized official Quinteros, Erica
Entity Organization
Organization subpart 1 No
Enumeration date Aug 23rd, 2023
Last updated Dec 13th, 2023 - about 2 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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