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Contact Information

ENDODONTICS OF SPRINGFIELD
997 CLOCK TOWER DR STE C
SPRINGFIELD, IL62704-1399
 Phone: 217-670-0462
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTICS OF SPRINGFIELD

NPI # 1134782592
LBN Legal business name ENDODONTICS OF SPRINGFIELD
Authorized official ANDREW MARTENS - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/20/2019
Last updated 04/20/2019 - About 7 years 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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