Hicks Family Dental Clinic

LBN: Smile Line Dental Llc
Hicks Family Dental Clinic is an health care organization with primary practice located at 2381 N Hicks Rd , Palatine IL 60074-1806. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Smile Line Dental Llc can be contacted via phone (847) 359-9100, or through Ahmed, Sumrana S via phone (847) 359-9100.

Contact Information

Primary practice address
2381 N Hicks Rd Palatine IL 60074-1806
Phone: (847) 359-9100
Fax: (630) 477-0447
Website:
Map and Directions
Authorized official contact:
Name: Ahmed, Sumrana S Doctor of Dental Surgery (DDS)
Phone: (847) 359-9100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019026293 Illinois

Profile Details

NPI number 1144543919
LBN Legal business name Smile Line Dental Llc
DBA Doing business as Hicks Family Dental Clinic
Authorized official Ahmed, Sumrana S Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 9th, 2010
Last updated Mar 9th, 2010 - about 14 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 1144543919 NPPES
Illinois MEDICAID 1005798

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