Your Smile By Design, P.C.

LBN: Your Smile By Design, P.C.
Your Smile By Design, P.C. is an health care organization with primary practice located at 3939 W Fullerton Ave , Chicago IL 60647-2243. The organization recently has only one registered license in Agencies / Public Health or Welfare, which is considered as the primary health care specialty. Your Smile By Design, P.C. can be contacted via phone (773) 235-0000, or through Ingallinera, David via phone (773) 327-6692.

Contact Information

Primary practice address
3939 W Fullerton Ave Chicago IL 60647-2243
Phone: (773) 235-0000
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Ingallinera, David Doctor of Dental Surgery (DDS)
Phone: (773) 327-6692

Health care specialties

SpecialtyCodeLicense #State
Agencies / Public Health or Welfare 251K00000X 019025292 Illinois

Profile Details

NPI number 1528231404
LBN Legal business name Your Smile By Design, P.C.
DBA Doing business as
Authorized official Ingallinera, David Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 11th, 2008
Last updated Apr 15th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1528231404 NPPES
Illinois MEDICAID 1004771

Popular Providers