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Contact Information

FAMILY DENTAL CARE OF BELVIDERE
860 BIESTER DR
SUITE 102
BELVIDERE, IL61008-4053
 Phone: 815-544-3426
 Fax: 815-544-3428
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
 

Endodontics

1223E0200X
 

Oral and Maxillofacial Surgery

1223S0112X 19 Oral Surgery (Dentist only)
 

Pediatric Dentistry

1223P0221X
Indicates primary specialty

NPI Profile & details for FAMILY DENTAL CARE OF BELVIDERE

NPI Number 1922547546
LBN Legal business name FAMILY DENTAL CARE OF BELVIDERE
Authorized official FARZIN YOUSEF - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 02/15/2017
Last updated 02/15/2017 - About 9 years ago
Identifiers
IL License # 019-023722
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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