The Smile Factory Mobile Clinic Llc

LBN: The Smile Factory Mobile Clinic Llc
The Smile Factory Mobile Clinic Llc is an health care organization with primary practice located at 1040 Carlyle Ave Ste 2A , Belleville IL 62221-5533. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dental Public Health, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. The Smile Factory Mobile Clinic Llc can be contacted via phone (618) 606-7824, or through Johnson, Sheronta via phone (618) 606-7824.

Contact Information

Primary practice address
1040 Carlyle Ave Ste 2A Belleville IL 62221-5533
Phone: (618) 606-7824
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Sheronta
Phone: (618) 606-7824

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Public Health 1223D0001X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1871369298
LBN Legal business name The Smile Factory Mobile Clinic Llc
DBA Doing business as
Authorized official Johnson, Sheronta
Entity Organization
Organization subpart 1 No
Enumeration date Nov 27th, 2023
Last updated Nov 27th, 2023 - about last year

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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