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Contact Information

NICOLAS E KRAVANYA DMD LLC
204 OAKLAND AVE
CARLINVILLE, IL62626
 Phone: 217-854-6505
 Fax: 217-854-6505
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for NICOLAS E KRAVANYA DMD LLC

NPI # 1255412599
LBN Legal business name NICOLAS E KRAVANYA DMD LLC
Authorized official NICOLAS KRAVANYA - (DENTIST/OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 10/17/2006
Last updated 12/27/2022 - About 3 years ago
Identifiers
IL License # 019018555
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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