Indiana Tmj Treatment Center in Pendleton - General Practice

Indiana Tmj Treatment Center - NPI 1912955832

Indiana Tmj Treatment Center is a General Practice in Pendleton, Indiana. Indiana Tmj Treatment Center practices all healthcare services and medical treatments related to General Practice. The NPI Number for Indiana Tmj Treatment Center is 1912955832. The last update date is 2009-05-20.

Indiana Tmj Treatment Center's current location address is 210 East Water Street, Pendleton, Indiana. You can contact this provider via phone number 7657783332 and fax number 7657784860. The mailing address for Indiana Tmj Treatment Center is 210 East Water Street, Pendleton, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Indiana Tmj Treatment Center
Address 210 East Water Street, Pendleton, Indiana
Phone Number 7657783332
Fax Number 7657784860
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DOCTOR
Authorized Official Name Lau Kenneth
Credentials D.D.S.
Telephone Number 7657783332

NPI Number Detail

NPI Number 1912955832
Provider Enumeration Date 2006-05-04
Last Updated Date 2009-05-20

Provider Mailing Address Detail

Address 210 East Water Street
City Pendleton
State Indiana (IN)
Post Code 460640206
Phone Number 7657783332
Fax Number 7657784860

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 7161
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
196290 IN BLUE CROSS AND BLUE SHIEL

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FAQs about Indiana Tmj Treatment Center

What is the unique 10-digit identifier code assigned to Indiana Tmj Treatment Center by the Centers for Medicare & Medicaid Services?

The Indiana Tmj Treatment Center has been issued the NPI (National Provider Identifier) 1912955832 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 Indiana Tmj Treatment Center is physically located?

The Indiana Tmj Treatment Center is physically situated at the following address: 210 East Water Street, Pendleton, IN, 460640206.

What is Indiana Tmj Treatment Center'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 Indiana Tmj Treatment Center 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 1912955832 to Indiana Tmj Treatment Center?

The Centers for Medicare & Medicaid Services assigned the 1912955832 to Indiana Tmj Treatment Center on 2006-05-04.

As of what date were the details related to Indiana Tmj Treatment Center most recently updated or revised?

The information pertaining to Indiana Tmj Treatment Center, including its address, specialty, and other relevant details, was last updated or revised on 2009-05-20.

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