EDP OF INDIANA PC NPI 1548776685

NPI Information

NPI: 1548776685
Provider Name: EDP OF INDIANA, PC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
5470 LAFAYETTE RD
INDIANAPOLIS, IN
ZIP 46254
Phone: (317) 293-4611
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EDP OF INDIANA, PC is a dental clinic center in Indianapolis, IN. EDP OF INDIANA, PC NPI is 1548776685. The provider is registered as an organization entity type.

The provider's business location address is:

5470 LAFAYETTE RD
INDIANAPOLIS, IN
ZIP 46254-620
Phone: (317) 293-4611

The provider's authorized official is Roseanne Brunenkant .
The authorized official title is Director Of Integration and has the following contact phone number (312) 937-3619.

The enumeration date for this NPI number is 12/27/2017 and was last updated on 9/16/2019.

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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