Riverside Dental Center

LBN: Riverside Dental Center
Riverside Dental Center is an health care organization with primary practice located at 2028 E Riverside Blvd Suite 210, Loves Park IL 61111-4804. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Riverside Dental Center can be contacted via phone (815) 877-4300, or through Donnelli, Gerald M via phone (815) 877-4300.

Contact Information

Primary practice address
2028 E Riverside Blvd Suite 210 Loves Park IL 61111-4804
Phone: (815) 877-4300
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Donnelli, Gerald M Doctor of Dental Surgery (DDS)
Phone: (815) 877-4300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1538350533
LBN Legal business name Riverside Dental Center
DBA Doing business as
Authorized official Donnelli, Gerald M Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 5th, 2007
Last updated Aug 5th, 2007 - about 18 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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