GARY L LLEWELLYN DDS LLC NPI 1477979300

NPI Information

NPI: 1477979300
Provider Name: GARY L LLEWELLYN DDS LLC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
6211 W 30TH ST
G
INDIANAPOLIS, IN
ZIP 46224
Phone: (317) 291-7550
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GARY L LLEWELLYN DDS LLC is a customized equipment durable medical equipment medical supplies in Indianapolis, IN. GARY L LLEWELLYN DDS LLC NPI is 1477979300. The provider is registered as an organization entity type.

The provider's business location address is:

6211 W 30TH ST
G
INDIANAPOLIS, IN
ZIP 46224-048
Phone: (317) 291-7550
Fax: (317) 291-1746

The provider's authorized official is Gary L Llewellyn .
The authorized official title is Owner and has the following contact phone number (317) 291-7550.

The enumeration date for this NPI number is 3/17/2014 and was last updated on 4/23/2014.

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	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	12008920	INDIANA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	12008920	OTHER	INDIANA	DDS

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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