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INDIANA UNIVERSITY NPI 1689790552


NPI Information

NPI: 1689790552
Provider Name: INDIANA UNIVERSITY

Doing Business As: INDIANA UNIVERSITY SCHOOL OF DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1121 W MICHIGAN ST
INDIANAPOLIS, IN
ZIP 46202
Phone: (317) 274-7433
Get Directions

INDIANA UNIVERSITY 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. INDIANA UNIVERSITY NPI is 1689790552. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Indiana University School Of Dentistry.

The provider's business location address is:

1121 W MICHIGAN ST
INDIANAPOLIS, IN
ZIP 46202-211
Phone: (317) 274-7433

The provider's authorized official is Tina D Foster .
The authorized official title is Assistant Director Of Revenue Cycle and has the following contact phone number (317) 278-3632.

The enumeration date for this NPI number is 3/22/2007 and was last updated on 2/24/2023.


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
11223E0200XDentistEndodonticsNo
21223P0300XDentistPeriodonticsNo
31223P0700XDentistProsthodonticsNo
41223S0112XDentistOral and Maxillofacial SurgeryNo
51223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
61223X2210XDentistOrofacial PainNo
71223G0001XDentistGeneral PracticeYes

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
1100277260MEDICAIDINDIANA

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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