Providence Family Dental

LBN: Siri Chanthasalo, D.D.S., P.C.
Providence Family Dental is an health care organization with primary practice located at 3091 W. Route 20 #103, Elgin IL 60124. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Siri Chanthasalo, D.D.S., P.C. can be contacted via phone (847) 841-1555, or through Chanthasalo, Siri via phone (847) 217-7215.

Contact Information

Primary practice address
3091 W. Route 20 #103 Elgin IL 60124
Phone: (847) 841-1555
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Chanthasalo, Siri Doctor of Dental Surgery (DDS)
Phone: (847) 217-7215

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019.025831 Illinois

Profile Details

NPI number 1114178183
LBN Legal business name Siri Chanthasalo, D.D.S., P.C.
DBA Doing business as Providence Family Dental
Authorized official Chanthasalo, Siri Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 8th, 2008
Last updated Oct 8th, 2008 - about 17 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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