15D0352456 CLIA NUMBER - NOBLESVILLE FAMILY MEDICINE

Laboratory Demographics

CLIA Number: 15D0352456

Facility Name: NOBLESVILLE FAMILY MEDICINE

Facility Address:
18051 RIVER AVE STE 200
NOBLESVILLE, IN
ZIP 46062
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Facility Phone Number: 317 773-0002

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1346752011

Taxonomy: 122300000X - Dentist
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

CLIA Record

Field Name Field Value
CLIA Number 15D0352456
LAB Type Physician Office
Facility Name NOBLESVILLE FAMILY MEDICINE
Street 18051 RIVER AVE STE 200
City NOBLESVILLE
State IN
ZIP 46062
Phone 317 773-0002
CertificateType 4
CertificateEffectiveDate 7/14/2022
CertificateExpirationDate 7/13/2024
FacilityType Waiver

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This page was last updated on: 4/23/2024