FAMILIA DENTAL INDIANAPOLIS LAFAYETTE LLC NPI 1568999241

NPI Information

NPI: 1568999241
Provider Name: FAMILIA DENTAL INDIANAPOLIS LAFAYETTE, LLC

Doing Business As: FAMILIA DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
4740 W. 38TH ST.
INDIANAPOLIS, IN
ZIP 46254
Phone: (317) 315-1251
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FAMILIA DENTAL INDIANAPOLIS LAFAYETTE, LLC is a dental clinic center in Indianapolis, IN. FAMILIA DENTAL INDIANAPOLIS LAFAYETTE, LLC NPI is 1568999241. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Familia Dental.

The provider's business location address is:

4740 W. 38TH ST.
INDIANAPOLIS, IN
ZIP 46254-318
Phone: (317) 315-1251
Fax: (317) 757-3318

The provider's authorized official is Brandon Alexander Taylor .
The authorized official title is Credentialing & Payer Relation Mana and has the following contact phone number (847) 453-7396.

The enumeration date for this NPI number is 5/12/2017 and was last updated on 6/23/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	12011918A	INDIANA	No
2	261QD0000X	Clinic/Center	Dental			Yes

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

NPI Synchronization or Removal

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