Thomas L. Prendergast, Dds, Pc

LBN: Thomas L. Prendergast, Dds, Pc
Thomas L. Prendergast, Dds, Pc is an health care organization with primary practice located at 1394 S Route 12 , Fox Lake IL 60020-1949. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Thomas L. Prendergast, Dds, Pc can be contacted via phone (847) 587-5053, or through Prendergast, Thomas L. via phone (847) 587-5053.

Contact Information

Primary practice address
1394 S Route 12 Fox Lake IL 60020-1949
Phone: (847) 587-5053
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Prendergast, Thomas L. Doctor of Dental Surgery (DDS)
Phone: (847) 587-5053

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 019-022387 Illinois

Profile Details

NPI number 1639438765
LBN Legal business name Thomas L. Prendergast, Dds, Pc
DBA Doing business as
Authorized official Prendergast, Thomas L. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 9th, 2012
Last updated May 9th, 2012 - about 13 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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