Southeast Dental Group in Indianapolis - General Practice
Southeast Dental Group - NPI 1114031952
Southeast Dental Group is a General Practice in Indianapolis, Indiana. Southeast Dental Group practices all healthcare services and medical treatments related to General Practice. The NPI Number for Southeast Dental Group is 1114031952. The last update date is 2020-08-22.
Southeast Dental Group's current location address is 6020 Southeastern Ave, Indianapolis, Indiana. You can contact this provider via phone number 3173591754 and fax number 3173573663. The mailing address for Southeast Dental Group is 6020 Southeastern Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southeast Dental Group |
|---|---|
| Address | 6020 Southeastern Ave, Indianapolis, Indiana |
| Phone Number | 3173591754 |
| Fax Number | 3173573663 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Bohnert V Mark |
| Credentials | D.D.S. |
| Telephone Number | 3173591754 |
NPI Number Detail
| NPI Number | 1114031952 |
|---|---|
| Provider Enumeration Date | 2006-08-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 6020 Southeastern Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462035611 |
| Phone Number | 3173591754 |
| Fax Number | 3173573663 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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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Post Comment/ Review Below
What is the Southeast Dental Group's 1114031952?
The Southeast Dental Group's NPI (National Provider Identifier) Number is 1114031952. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Southeast Dental Group is physically located?
The Southeast Dental Group is physically situated at the following address: 6020 Southeastern Ave, Indianapolis, IN, 462035611.
What is the Southeast Dental Group's area of specialization and corresponding taxonomy classification?
The Southeast Dental Group's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Southeast Dental Group receive its 1114031952 assignment from the Centers for Medicare & Medicaid Services?
The Southeast Dental Group was assigned its 1114031952 by the Centers for Medicare & Medicaid Services on 2006-08-18.
When was the information related to Southeast Dental Group most recently updated or refreshed?
The details pertaining to the Southeast Dental Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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