Decatur Dental Services in Bluffton - General Practice
Decatur Dental Services - NPI 1760559082
Decatur Dental Services is a General Practice in Bluffton, Indiana. Decatur Dental Services practices all healthcare services and medical treatments related to General Practice. The NPI Number for Decatur Dental Services is 1760559082. The last update date is 2020-08-22.
Decatur Dental Services's current location address is 6204 W 300 S-1 # South-1, Bluffton, Indiana. You can contact this provider via phone number 2605654506. The mailing address for Decatur Dental Services is 6204 W 300 S-1 # South-1, Bluffton, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Decatur Dental Services |
|---|---|
| Address | 6204 W 300 S-1 # South-1, Bluffton, Indiana |
| Phone Number | 2605654506 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Johnson Alan Michael |
| Credentials | DDS |
| Telephone Number | 2603687500 |
NPI Number Detail
| NPI Number | 1760559082 |
|---|---|
| Provider Enumeration Date | 2006-11-30 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6204 W 300 S-1 # South-1 |
|---|---|
| City | Bluffton |
| State | Indiana (IN) |
| Post Code | 467149516 |
| Phone Number | 2605654506 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12010412 |
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Definition: 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. |
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What is the unique 10-digit identifier code assigned to Decatur Dental Services by the Centers for Medicare & Medicaid Services?
The Decatur Dental Services has been issued the NPI (National Provider Identifier) 1760559082 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Decatur Dental Services is physically located?
The Decatur Dental Services is physically situated at the following address: 6204 W 300 S-1 # South-1, Bluffton, IN, 467149516.
What is Decatur Dental Services's specialized field of practice, and what is the corresponding taxonomy classification code?
The Decatur Dental Services's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Decatur Dental Services receive the assignment of its 1760559082 from the Centers for Medicare & Medicaid Services?
The Decatur Dental Services was issued its 1760559082 by the Centers for Medicare & Medicaid Services on 2006-11-30.
As of what date were the Decatur Dental Services's details last updated?
The information pertaining to the Decatur Dental Services, including its address, specialty, and other details, was most recently updated on 2020-08-22.