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:
Authorized official contact:
Name: Chanthasalo, Siri Doctor of Dental Surgery (DDS)
Phone: (847) 217-7215
Health care specialties
Specialty | Code | License # | 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 16 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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