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UNIVERSITY DENTAL SERVICE PLAN INC NPI 1407996291


NPI Information

NPI: 1407996291
Provider Name: UNIVERSITY DENTAL SERVICE PLAN INC

Doing Business As: DENTAL FACULTY PRIVATE PRACTICE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1121 W MICHIGAN ST
ROOM 285B
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 278-6946
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UNIVERSITY DENTAL SERVICE PLAN INC 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. UNIVERSITY DENTAL SERVICE PLAN INC NPI is 1407996291. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Dental Faculty Private Practice.

The provider's business location address is:

1121 W MICHIGAN ST
ROOM 285B
INDIANAPOLIS, IN
ZIP 46202-211
Phone: (317) 278-6946
Fax: (317) 274-6583

The provider's authorized official is Jill Allen .
The authorized official title is Clinic Adminstrator and has the following contact phone number (317) 278-6946.

The enumeration date for this NPI number is 2/8/2007 and was last updated on 4/30/2010.


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
11223P0106XDentistOral and Maxillofacial PathologyNo
21223P0300XDentistPeriodonticsNo
31223P0700XDentistProsthodonticsNo
41223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
51223P0221XDentistPediatric DentistryNo
61223X0008XDentistOral and Maxillofacial RadiologyNo
7291U00000XClinical Medical LaboratoryNo
8122300000XDentistNo
91223G0001XDentistGeneral PracticeYes

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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