Worth Palos Dentistry

LBN: Worth Palos Dentistry
Worth Palos Dentistry is an health care organization with primary practice located at 7630 W 111Th St , Palos Hills IL 60465-2302. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Worth Palos Dentistry can be contacted via phone (708) 974-1319, or through Boehm, Richard Andrew via phone (708) 974-1319.

Contact Information

Primary practice address
7630 W 111Th St Palos Hills IL 60465-2302
Phone: (708) 974-1319
Fax: (708) 974-4463
Website:
Map and Directions
Authorized official contact:
Name: Boehm, Richard Andrew Doctor of Dental Surgery (DDS)
Phone: (708) 974-1319

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 19022901 Illinois

Profile Details

NPI number 1588839849
LBN Legal business name Worth Palos Dentistry
DBA Doing business as
Authorized official Boehm, Richard Andrew Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 16 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 1588839849 NPPES
Illinois Other 1821160045 PERSONAL NAME

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