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Contact Information

FIELDCREST DENTAL, P.C.
203 E SANTA FE AVE
TOLUCA, IL61369
 Phone: 815-452-2513
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for FIELDCREST DENTAL, P.C.

NPI Number 1275879918
LBN Legal business name FIELDCREST DENTAL, P.C.
Authorized official PATRICK HAMPER - (SHAREHOLDER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/28/2012
Last updated 12/28/2012 - About 13 years ago
Identifiers
IL License # 019027745
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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