FDG MOBILE NPI 1568073096

NPI Information

NPI: 1568073096
Provider Name: FDG MOBILE
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
438 S EMERSON AVE STE 231
GREENWOOD, IN
ZIP 46143
Phone: (317) 300-7403
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FDG MOBILE is a dental clinic center in Greenwood, IN. FDG MOBILE NPI is 1568073096. The provider is registered as an organization entity type.

The provider's business location address is:

438 S EMERSON AVE STE 231
GREENWOOD, IN
ZIP 46143-948
Phone: (317) 300-7403
Fax: (317) 851-9085

The provider's authorized official is Garrett Fiorenza .
The authorized official title is Ceo and has the following contact phone number (317) 300-7403.

The enumeration date for this NPI number is 8/10/2020 and was last updated on 8/10/2020.

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: 5/5/2024

NPI Synchronization or Removal

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