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Contact Information

FLOSS DENTAL CARE LLC
18650 DIXIE HIGHWAY
HOMEWOOD, IL60430
 Phone: 630-339-3172
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for FLOSS DENTAL CARE LLC

NPI # 1790182327
LBN Legal business name FLOSS DENTAL CARE LLC
Authorized official ALAN ACIERNO - (MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/25/2014
Last updated 01/14/2015 - About 11 years ago
Identifiers
IL License # 019021636
IL License # 019028140
IL Other 019021636 PPO
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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