Route 64 Dental Llc

LBN: Route 64 Dental Llc
Route 64 Dental Llc is an health care organization with primary practice located at 306 W Main St , St Charles IL 60174-1814. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Route 64 Dental Llc can be contacted via phone (630) 584-6177, or through Acierno, Alan M via phone (630) 339-3172.

Contact Information

Primary practice address
306 W Main St St Charles IL 60174-1814
Phone: (630) 584-6177
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Acierno, Alan M
Phone: (630) 339-3172

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019015977 Illinois
Dental Providers / General Practice 1223G0001X 019012964 Illinois

Profile Details

NPI number 1508384355
LBN Legal business name Route 64 Dental Llc
DBA Doing business as
Authorized official Acierno, Alan M
Entity Organization
Organization subpart 1 No
Enumeration date Aug 31st, 2017
Last updated Aug 31st, 2017 - 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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