PROFESSIONAL DENTAL SERVICES OF INDIANA PC NPI 1023638293

NPI Information

NPI: 1023638293
Provider Name: PROFESSIONAL DENTAL SERVICES OF INDIANA PC

Doing Business As: BRIGHT TIGER DENTAL

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

Specialization: Dental

Address:
4960 S EMERSON AVE
INDIANAPOLIS, IN
ZIP 46203
Phone: (317) 886-1578
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PROFESSIONAL DENTAL SERVICES OF INDIANA PC is a dental clinic center in Indianapolis, IN. PROFESSIONAL DENTAL SERVICES OF INDIANA PC NPI is 1023638293. The provider is registered as an organization entity type.
The provider Is Doing Business As Bright Tiger Dental.

The provider's business location address is:

4960 S EMERSON AVE
INDIANAPOLIS, IN
ZIP 46203-937
Phone: (317) 886-1578

The provider's authorized official is Donald Swoverland .
The authorized official title is Dentist/owner and has the following contact phone number (913) 355-1121.

The enumeration date for this NPI number is 4/17/2020 and was last updated on 4/17/2020.

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	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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