Sugar Grove Dental Associates,Pc

LBN: Sugar Grove Dental Associates,Pc
Sugar Grove Dental Associates,Pc is an health care organization with primary practice located at 495 N State Route 47 Suite J, Sugar Grove IL 60554-8009. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Sugar Grove Dental Associates,Pc can be contacted via phone (630) 466-1100, or through Deweirdt, Glenn Louis via phone (630) 466-1100.

Contact Information

Primary practice address
495 N State Route 47 Suite J Sugar Grove IL 60554-8009
Phone: (630) 466-1100
Fax: (630) 466-7933
Website:
Map and Directions
Authorized official contact:
Name: Deweirdt, Glenn Louis Doctor of Dental Surgery (DDS)
Phone: (630) 466-1100

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 019-019321 Illinois

Profile Details

NPI number 1972848935
LBN Legal business name Sugar Grove Dental Associates,Pc
DBA Doing business as
Authorized official Deweirdt, Glenn Louis Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 3rd, 2012
Last updated Dec 3rd, 2012 - about 12 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.

Request for update

Popular Providers