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Contact Information

SOUTHWEST ENDODONTICS
16055 108TH AVE
STE H
ORLAND PARK, IL60467-5347
 Phone: 708-460-9191
 Fax: 708-460-9407
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for SOUTHWEST ENDODONTICS

NPI # 1982934972
LBN Legal business name SOUTHWEST ENDODONTICS
Authorized official VLADIMIR TISMENSKY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 01/13/2010
Last updated 05/28/2021 - About 5 years ago
Identifiers
IL License # 02101135
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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