Rockriver Dental Llc

LBN: Rockriver Dental Llc
Rockriver Dental Llc is an health care organization with primary practice located at 318 College Ave , Rockford IL 61104-2922. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Rockriver Dental Llc can be contacted via phone (815) 965-5555, or through Hansen, Duane via phone (815) 965-5555.

Contact Information

Primary practice address
318 College Ave Rockford IL 61104-2922
Phone: (815) 965-5555
Fax: (815) 965-5561
Website:
Map and Directions
Authorized official contact:
Name: Hansen, Duane Doctor of Dental Surgery (DDS)
Phone: (815) 965-5555

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019019603 Illinois

Profile Details

NPI number 1336477769
LBN Legal business name Rockriver Dental Llc
DBA Doing business as
Authorized official Hansen, Duane Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 23rd, 2009
Last updated Nov 23rd, 2009 - about 15 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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