Indy East Smiles Youth Dentistry Llc in Indianapolis - General Practice

Indy East Smiles Youth Dentistry Llc - NPI 1013952696

Indy East Smiles Youth Dentistry Llc is a General Practice in Indianapolis, Indiana. Indy East Smiles Youth Dentistry Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Indy East Smiles Youth Dentistry Llc is 1013952696. The last update date is 2019-06-24.

Indy East Smiles Youth Dentistry Llc's current location address is 5430 East Washington Street, Indianapolis, Indiana. You can contact this provider via phone number 3173221840 and fax number 6159861705. The mailing address for Indy East Smiles Youth Dentistry Llc is 5430 East Washington Street, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Indy East Smiles Youth Dentistry Llc
Address 5430 East Washington Street, Indianapolis, Indiana
Phone Number 3173221840
Fax Number 6159861705
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Peterson K. Helen
Credentials DDS
Telephone Number 3173221840

NPI Number Detail

NPI Number 1013952696
Provider Enumeration Date 2006-06-18
Last Updated Date 2019-06-24

Provider Mailing Address Detail

Address 5430 East Washington Street
City Indianapolis
State Indiana (IN)
Post Code 46219
Phone Number 3173221840
Fax Number 6159861705

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
200361860A IN --

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FAQs about Indy East Smiles Youth Dentistry Llc

What is the Indy East Smiles Youth Dentistry Llc's unique identification number?

The Indy East Smiles Youth Dentistry Llc has been assigned the NPI (National Provider Identifier) Number 1013952696 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Indy East Smiles Youth Dentistry Llc is physically located?

The Indy East Smiles Youth Dentistry Llc is physically situated at the following address: 5430 East Washington Street, Indianapolis, IN, 46219.

What is Indy East Smiles Youth Dentistry Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Indy East Smiles Youth Dentistry Llc is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services assign the 1013952696 to Indy East Smiles Youth Dentistry Llc?

The Centers for Medicare & Medicaid Services assigned the 1013952696 to Indy East Smiles Youth Dentistry Llc on 2006-06-18.

When was the information regarding Indy East Smiles Youth Dentistry Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Indy East Smiles Youth Dentistry Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-06-24.

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