Wood River Dental Group Llc

LBN: Wood River Dental Group Llc
Wood River Dental Group Llc is an health care organization with primary practice located at 1075 Harrison St , Wood River IL 62095-1867. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Wood River Dental Group Llc can be contacted via phone (618) 259-5200, or through Guilbeault, David via phone (618) 248-2038.

Contact Information

Primary practice address
1075 Harrison St Wood River IL 62095-1867
Phone: (618) 259-5200
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Guilbeault, David Doctor of Dental Medicine (DMD)
Phone: (618) 248-2038

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1528458809
LBN Legal business name Wood River Dental Group Llc
DBA Doing business as
Authorized official Guilbeault, David Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2015
Last updated Jan 26th, 2015 - about 9 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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