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Contact Information

SMICHAEL VANCIL DMD LLC
1255 CEDAR COURT
CARBONDALE, IL62901-5335
 Phone: 618-529-3931
 Fax: 618-529-1011
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for SMICHAEL VANCIL DMD LLC

NPI Number 1770632119
LBN Legal business name SMICHAEL VANCIL DMD LLC
Authorized official S VANCIL - (MEMBER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/08/2007
Last updated 07/30/2008 - About 18 years ago
Identifiers
IL License # 019017293
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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