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Contact Information

ENDODONTIC SPECIALISTS LLC
3601 GENERAL ELECTRIC ROAD
SUITE 6
BLOOMINGTON, IL61704
 Phone: 309-663-9521
 Fax: 309-663-0346
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for ENDODONTIC SPECIALISTS LLC

NPI # 1194895219
LBN Legal business name ENDODONTIC SPECIALISTS LLC
Authorized official STEVEN SIERASKI - (MEMBER LLC)
Entity Organization
Organization subpart 1 No
Enumeration date 11/08/2006
Last updated 08/22/2020 - About 6 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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