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SOUTHWAY FAMILY DENTISTRY NPI 1902154248


NPI Information

NPI: 1902154248
Provider Name: SOUTHWAY FAMILY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3745 S MADISON ST
MUNCIE, IN
ZIP 47302
Phone: (765) 896-9857
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SOUTHWAY FAMILY DENTISTRY is a general practice dentist in Muncie, 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. SOUTHWAY FAMILY DENTISTRY NPI is 1902154248. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3745 S MADISON ST
MUNCIE, IN
ZIP 47302-756
Phone: (765) 896-9857
Fax: (765) 896-9937

The provider's authorized official is David M Buksar .
The authorized official title is Owner and has the following contact phone number (765) 896-9857.

The enumeration date for this NPI number is 8/16/2012 and was last updated on 8/16/2012.


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 Practice12009906AINDIANAYes

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: 11/14/2023

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