Indy West Smiles Youth Dentistry, Llc in Indianapolis - General Practice

Indy West Smiles Youth Dentistry, Llc - NPI 1134164445

Indy West Smiles Youth Dentistry, Llc is a General Practice in Indianapolis, Indiana. Indy West Smiles Youth Dentistry, Llc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Indy West Smiles Youth Dentistry, Llc is 1134164445. The last update date is 2019-07-01.

Indy West Smiles Youth Dentistry, Llc's current location address is 2802 Lafayette Road, Indianapolis, Indiana. You can contact this provider via phone number 3179252810. The mailing address for Indy West Smiles Youth Dentistry, Llc is 2802 Lafayette Road, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Indy West Smiles Youth Dentistry, Llc
Address 2802 Lafayette Road, Indianapolis, Indiana
Phone Number 3179252810
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Peterson K. Helen
Credentials DDS
Telephone Number 3179252810

NPI Number Detail

NPI Number 1134164445
Provider Enumeration Date 2006-06-19
Last Updated Date 2019-07-01

Provider Mailing Address Detail

Address 2802 Lafayette Road
City Indianapolis
State Indiana (IN)
Post Code 46222
Phone Number 3179252810
Fax Number

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
200434530A IN --

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FAQs about Indy West Smiles Youth Dentistry, Llc

What is the unique 10-digit identifier code issued to Indy West Smiles Youth Dentistry, Llc by the Centers for Medicare & Medicaid Services?

The Indy West Smiles Youth Dentistry, Llc has been assigned the NPI (National Provider Identifier) 1134164445 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Indy West Smiles Youth Dentistry, Llc's facilities are situated?

The facilities of Indy West Smiles Youth Dentistry, Llc are physically located at the following address: 2802 Lafayette Road, Indianapolis, IN, 46222.

What is Indy West Smiles Youth Dentistry, Llc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Indy West Smiles Youth Dentistry, Llc'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 Indy West Smiles Youth Dentistry, Llc receive its 1134164445 assignment from the Centers for Medicare & Medicaid Services?

The Indy West Smiles Youth Dentistry, Llc was assigned its 1134164445 by the Centers for Medicare & Medicaid Services on 2006-06-19.

As of what date was the information regarding Indy West Smiles Youth Dentistry, Llc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Indy West Smiles Youth Dentistry, Llc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-07-01.

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