Prairie Dental Associates

LBN: Sikora & Jacobsen Llc
Prairie Dental Associates is an health care organization with primary practice located at 3220 Gerig Dr , Bloomington IL 61704-6394. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Sikora & Jacobsen Llc can be contacted via phone (309) 662-7722, or through Jacobsen, Daniel via phone (309) 662-7722.

Contact Information

Primary practice address
3220 Gerig Dr Bloomington IL 61704-6394
Phone: (309) 662-7722
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Jacobsen, Daniel
Phone: (309) 662-7722

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.028635 Illinois

Profile Details

NPI number 1629403167
LBN Legal business name Sikora & Jacobsen Llc
DBA Doing business as Prairie Dental Associates
Authorized official Jacobsen, Daniel
Entity Organization
Organization subpart 1 No
Enumeration date Sep 3rd, 2013
Last updated Sep 3rd, 2013 - about 12 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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