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Contact Information

LITCHFIELD DENTAL PROFESSIONALS
318 N. MADISON
LITCHFIELD, IL62056
 Phone: 217-303-8787
 Fax: 217-324-6194
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for LITCHFIELD DENTAL PROFESSIONALS

NPI # 1457657744
LBN Legal business name LITCHFIELD DENTAL PROFESSIONALS
Authorized official CORY DARR - (PRESIDENT/CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/03/2011
Last updated 01/04/2022 - About 4 years ago
Identifiers
IL License # 019025281
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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