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MEC DENTAL MANAGEMENT LLC NPI 1114230919


NPI Information

NPI: 1114230919
Provider Name: MEC DENTAL MANAGEMENT LLC

Doing Business As: KEYSTONE FAMILY DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
5426 N KEYSTONE AVE
INDIANAPOLIS, IN
ZIP 46220
Phone: (317) 252-5480
Get Directions

MEC DENTAL MANAGEMENT LLC 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. MEC DENTAL MANAGEMENT LLC NPI is 1114230919. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Keystone Family Dental Center.

The provider's business location address is:

5426 N KEYSTONE AVE
INDIANAPOLIS, IN
ZIP 46220-456
Phone: (317) 252-5480
Fax: (317) 252-5482

The provider's authorized official is Matthew Edward Church .
The authorized official title is Owner/dentist and has the following contact phone number (317) 252-5480.

The enumeration date for this NPI number is 7/21/2010 and was last updated on 7/21/2010.


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 Practice12010045INDIANAYes

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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