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TERRE HAUTE PERIODONTICS NPI 1346278710


NPI Information

NPI: 1346278710
Provider Name: TERRE HAUTE PERIODONTICS

Former Legal Business Name: JAMES HUMPHREY DDS

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
221 S 19TH ST
TERRE HAUTE, IN
ZIP 47807
Phone: (812) 232-0064
Get Directions

TERRE HAUTE PERIODONTICS is a periodontics dentist in Terre Haute, IN. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. TERRE HAUTE PERIODONTICS NPI is 1346278710. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is James Humphrey Dds.

The provider's business location address is:

221 S 19TH ST
TERRE HAUTE, IN
ZIP 47807-129
Phone: (812) 232-0064
Fax: (812) 232-3834

The provider's authorized official is James M Humphrey .
The authorized official title is President and has the following contact phone number (812) 232-0064.

The enumeration date for this NPI number is 6/28/2006 and was last updated on 8/22/2020.


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
11223P0300XDentistPeriodontics12009022AINDIANAYes

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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