Indiana University Northwest in Gary - Dental Public Health

Indiana University Northwest - NPI 1912067349

Indiana University Northwest is a Dental Public Health in Gary, Indiana. Indiana University Northwest practices all healthcare services and medical treatments related to Dental Public Health. The NPI Number for Indiana University Northwest is 1912067349. The last update date is 2022-07-21.

Indiana University Northwest's current location address is 3400 Broadway, Gary, Indiana. You can contact this provider via phone number 2199806772. The mailing address for Indiana University Northwest is 3400 Broadway, Gary, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Indiana University Northwest
Address 3400 Broadway, Gary, Indiana
Phone Number 2199806772
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position CLINIC MAN
Authorized Official Name Zak Cindy
Credentials CDA
Telephone Number 2199806772

NPI Number Detail

NPI Number 1912067349
Provider Enumeration Date 2006-12-08
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 3400 Broadway
City Gary
State Indiana (IN)
Post Code 464081101
Phone Number 2199806772
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dental Public Health
Taxonomy 1223D0001X
Licence No 0
Definition:
The science and art of preventing and controlling dental diseases and promoting dental health through organized community efforts. It is that form of dental practice that serves the community as a patient rather than the individual. It is concerned w

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200082120 IN --

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FAQs about Indiana University Northwest

What is the unique provider identifier assigned to Indiana University Northwest?

The Indiana University Northwest has been issued the NPI (National Provider Identifier) 1912067349 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Indiana University Northwest?

The Indiana University Northwest is physically situated at 3400 Broadway, in the city of Gary, state of IN, with the postal code 464081101.

What is the Indiana University Northwest's specialty and taxonomy code?

The Indiana University Northwest's specialty is Dental Public Health, and the corresponding taxonomy code is 1223D0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1912067349 to Indiana University Northwest?

The Centers for Medicare & Medicaid Services originally issued the 1912067349 to Indiana University Northwest on 2006-12-08.

When was the Indiana University Northwest's information last updated?

The Indiana University Northwest's information was last updated on 2022-07-21.

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