St. Charles Modern Dental

LBN: St. Charles Modern Dental, Llc
St. Charles Modern Dental is an health care organization with primary practice located at 855 S Randall Rd , St Charles IL 60174-1570. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. St. Charles Modern Dental, Llc can be contacted via phone (630) 587-2700, or through Shahmohmmadi, Kianor via phone (618) 917-5808.

Contact Information

Primary practice address
855 S Randall Rd St Charles IL 60174-1570
Phone: (630) 587-2700
Fax: (630) 405-1738
Website:
Map and Directions
Authorized official contact:
Name: Shahmohmmadi, Kianor Doctor of Dental Medicine (DMD)
Phone: (618) 917-5808

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019027170 Illinois

Profile Details

NPI number 1912220773
LBN Legal business name St. Charles Modern Dental, Llc
DBA Doing business as St. Charles Modern Dental
Authorized official Shahmohmmadi, Kianor Doctor of Dental Medicine (DMD)
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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