Pediatric Dentistry Of Northwest Indiana Pc in Highland - Pediatric Dentistry
Pediatric Dentistry Of Northwest Indiana Pc - NPI 1861417818
Pediatric Dentistry Of Northwest Indiana Pc is a Pediatric Dentistry in Highland, Indiana. Pediatric Dentistry Of Northwest Indiana Pc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry Of Northwest Indiana Pc is 1861417818. The last update date is 2020-08-22.
Pediatric Dentistry Of Northwest Indiana Pc's current location address is 2833 Lincoln St, Highland, Indiana. You can contact this provider via phone number 2198382007 and fax number 2199725267. The mailing address for Pediatric Dentistry Of Northwest Indiana Pc is 2833 Lincoln St, Highland, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediatric Dentistry Of Northwest Indiana Pc |
|---|---|
| Address | 2833 Lincoln St, Highland, Indiana |
| Phone Number | 2198382007 |
| Fax Number | 2199725267 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Schechner G. Terry |
| Credentials | D.D.S. |
| Telephone Number | 2198382007 |
NPI Number Detail
| NPI Number | 1861417818 |
|---|---|
| Provider Enumeration Date | 2006-07-12 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2833 Lincoln St |
|---|---|
| City | Highland |
| State | Indiana (IN) |
| Post Code | 463221924 |
| Phone Number | 2198382007 |
| Fax Number | 2199725267 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12008141A |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130765 | IN | UNITED CONCORDIA | |
| 155777 | IN | CHILDRENS SPECIAL HEALTH |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Pediatric Dentistry Of Northwest Indiana Pc by the Centers for Medicare & Medicaid Services?
The Pediatric Dentistry Of Northwest Indiana Pc has been issued the NPI (National Provider Identifier) 1861417818 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Pediatric Dentistry Of Northwest Indiana Pc's facilities are situated?
The facilities of Pediatric Dentistry Of Northwest Indiana Pc are physically located at the following address: 2833 Lincoln St, Highland, IN, 463221924.
What is Pediatric Dentistry Of Northwest Indiana Pc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Pediatric Dentistry Of Northwest Indiana Pc is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
When did Pediatric Dentistry Of Northwest Indiana Pc receive its 1861417818 assignment?
The Pediatric Dentistry Of Northwest Indiana Pc was assigned its 1861417818 on 2006-07-12, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Pediatric Dentistry Of Northwest Indiana Pc most recently updated or revised?
The information pertaining to Pediatric Dentistry Of Northwest Indiana Pc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.