Avenue Dental Clinic & Lab

LBN: Silvio J Camodeca Dds Dn
Avenue Dental Clinic & Lab is an health care organization with primary practice located at 3518 W Fullerton Ave , Chicago IL 60647. The organization recently has 3 registered licenses in different health care specialties including Dental Providers / Dentist, Other Service Providers / Naturopath, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM. Dental Providers / Dentist is the primary health care specialty. Silvio J Camodeca Dds Dn can be contacted via phone (773) 278-0334, or through Camodeca, Silvio J via phone (773) 278-0334.

Contact Information

Primary practice address
3518 W Fullerton Ave Chicago IL 60647
Phone: (773) 278-0334
Fax: (773) 365-0314
Website:
Map and Directions
Authorized official contact:
Name: Camodeca, Silvio J DDS DN
Phone: (773) 278-0334

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 019015351 Illinois
Dental Providers / Dentist 122300000X 12010C12A Indiana
Other Service Providers / Naturopath 175F00000X NAT1000255 District of Columbia
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 181000299 Illinois

Profile Details

NPI number 1740268416
LBN Legal business name Silvio J Camodeca Dds Dn
DBA Doing business as Avenue Dental Clinic & Lab
Authorized official Camodeca, Silvio J DDS DN
Entity Organization
Organization subpart 1 No
Enumeration date Jan 4th, 2006
Last updated Aug 30th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1740268416 NPPES
District of Columbia Other NAT1000255 NATUROPATHY
District of Columbia Other 12010612A NATUROPATHY
District of Columbia Other 019015351 NATUROPATHY
District of Columbia Other 181000299 NATUROPATHY

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