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Contact Information

WISE DENTAL ASSOCIATES PC
536 W WISE RD
SCHAUMBURG, IL60193-3815
 Phone: 847-352-8822
 Fax: 847-352-9119
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dental Public Health

1223D0001X
Indicates primary specialty

NPI Profile & details for WISE DENTAL ASSOCIATES PC

NPI Number 1780074765
LBN Legal business name WISE DENTAL ASSOCIATES PC
Authorized official JAMES GLINOS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/29/2015
Last updated 01/29/2015 - About 11 years ago
Identifiers
IL License # 019021649
IL Medicaid 019021649
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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