Toothtown Pllc

LBN: Toothtown Pllc
Toothtown Pllc is an health care organization with primary practice located at 303 W Lake St Ste 300 , Addison IL 60101-2564. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Toothtown Pllc can be contacted via phone (630) 352-1547, or through Fahmy, Yusuf via phone (630) 352-1547.

Contact Information

Primary practice address
303 W Lake St Ste 300 Addison IL 60101-2564
Phone: (630) 352-1547
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Fahmy, Yusuf Doctor of Dental Medicine (DMD)
Phone: (630) 352-1547

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1508590415
LBN Legal business name Toothtown Pllc
DBA Doing business as
Authorized official Fahmy, Yusuf Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 15th, 2022
Last updated Jul 15th, 2022 - about 3 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 1508590415 NPPES
Illinois MEDICAID 019030794

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