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JAMES TOWNE DDS2 LLC NPI 1003290388


NPI Information

NPI: 1003290388
Provider Name: JAMES TOWNE DDS2, LLC

Doing Business As: JAMESTOWNE DENTAL

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
6249 S EAST ST
SUITE J
INDIANAPOLIS, IN
ZIP 46227
Phone: (317) 789-1000
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JAMES TOWNE DDS2, LLC is a general practice dentist in Indianapolis, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. JAMES TOWNE DDS2, LLC NPI is 1003290388. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Jamestowne Dental.

The provider's business location address is:

6249 S EAST ST
SUITE J
INDIANAPOLIS, IN
ZIP 46227-091
Phone: (317) 789-1000

The provider's authorized official is Allison Gardiner .
The authorized official title is Member and has the following contact phone number (317) 353-4469.

The enumeration date for this NPI number is 7/16/2015 and was last updated on 7/16/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice12011631AINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1201026900MEDICAIDINDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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