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Contact Information

RIDGE DENTAL LTD
6422 W 107TH ST
CHICAGO RIDGE, IL60415
 Phone: 708-424-0052
 Fax: 708-424-0055
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for RIDGE DENTAL LTD

NPI Number 1063556934
LBN Legal business name RIDGE DENTAL LTD
Authorized official CHRISTOPHER GREEN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 02/16/2007
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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