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Contact Information

MILLENNIUM DENTAL SPECIALIST
1624 W DIVISION ST STE B
CHICAGO, IL60622-3908
 Phone: 773-227-9000
 Fax: 773-227-9009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Periodontics

1223P0300X
 

Endodontics

1223E0200X
Indicates primary specialty

NPI Profile & details for MILLENNIUM DENTAL SPECIALIST

NPI # 1942793815
LBN Legal business name MILLENNIUM DENTAL SPECIALIST
Authorized official CHRISTINE GADIA - (OWNER/ DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/14/2018
Last updated 06/14/2018 - About 8 years ago
Identifiers
IL License # 019025900
IL License # 019026871
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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