Southport Dental, P.C. in Indianapolis - General Practice
Southport Dental, P.C. - NPI 1376767525
Southport Dental, P.C. is a General Practice in Indianapolis, Indiana. Southport Dental, P.C. practices all healthcare services and medical treatments related to General Practice. The NPI Number for Southport Dental, P.C. is 1376767525. The last update date is 2020-08-22.
Southport Dental, P.C.'s current location address is 8028 South Emerson Ave, Indianapolis, Indiana. You can contact this provider via phone number 3178833300 and fax number 3178893348. The mailing address for Southport Dental, P.C. is 8028 South Emerson Ave, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southport Dental, P.C. |
|---|---|
| Address | 8028 South Emerson Ave, Indianapolis, Indiana |
| Phone Number | 3178833300 |
| Fax Number | 3178893348 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Mills M Ryan |
| Credentials | D.D.S |
| Telephone Number | 3178833300 |
NPI Number Detail
| NPI Number | 1376767525 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 8028 South Emerson Ave |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 46237 |
| Phone Number | 3178833300 |
| Fax Number | 3178893348 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 12010416 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1368963 | IN | UNITED CONCORDIA |
Post Comment/ Review Below
What is the unique identifier code issued to Southport Dental, P.C. by the Centers for Medicare & Medicaid Services (CMS)?
The Southport Dental, P.C. has been assigned the NPI (National Provider Identifier) 1376767525. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Southport Dental, P.C.'s facilities are situated?
The facilities of Southport Dental, P.C. are physically located at the following address: 8028 South Emerson Ave, Indianapolis, IN, 46237.
What is the Southport Dental, P.C.'s area of specialization and corresponding taxonomy classification?
The Southport Dental, P.C.'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 was the 1376767525 assigned to Southport Dental, P.C.?
The Southport Dental, P.C. was issued its 1376767525 on 2007-04-12, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the Southport Dental, P.C.'s information last updated?
The Southport Dental, P.C.'s information was last updated on 2020-08-22.