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10439 E US HIGHWAY 36 DENTAL LLC NPI 1023546629


NPI Information

NPI: 1023546629
Provider Name: 10439 E US HIGHWAY 36 DENTAL, LLC

Doing Business As: 24 HOUR DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10439 E US HIGHWAY 36
AVON, IN
ZIP 46123
Phone: (317) 300-0577
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10439 E US HIGHWAY 36 DENTAL, LLC is a general practice dentist in Avon, 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. 10439 E US HIGHWAY 36 DENTAL, LLC NPI is 1023546629. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As 24 Hour Dental Care.

The provider's business location address is:

10439 E US HIGHWAY 36
AVON, IN
ZIP 46123
Phone: (317) 300-0577

The provider's authorized official is Allee Mertes .
The authorized official title is Director Of Compliance and has the following contact phone number (614) 288-5384.

The enumeration date for this NPI number is 5/25/2017 and was last updated on 6/14/2018.


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
11223G0001XDentistGeneral 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: 5/5/2024

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