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Contact Information

DECKER FAMILY DENTAL, PC
4647 W 103RD ST STE 1D
OAK LAWN, IL60453-4792
 Phone: 708-422-6500
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
 

Dental

261QD0000X
Indicates primary specialty

NPI Profile & details for DECKER FAMILY DENTAL, PC

NPI # 1558984427
LBN Legal business name DECKER FAMILY DENTAL, PC
Authorized official VILIJA MCWILLIAMS - (OFFICE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/26/2020
Last updated 06/06/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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