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Contact Information

ADVANCED DENTAL CARE
2457 N LINCOLN AVE
CHICAGO, IL60614-8509
 Phone: 773-871-0336
 Fax: 773-871-0981
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Periodontics

1223P0300X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL CARE

NPI Number 1801186986
LBN Legal business name ADVANCED DENTAL CARE
Authorized official FATEMEH KHAGHANI - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 04/11/2011
Last updated 04/11/2011 - About 15 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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