Pediatric Dentistry West, Llc in Indianapolis - Pediatric Dentistry

Pediatric Dentistry West, Llc - NPI 1366489627

Pediatric Dentistry West, Llc is a Pediatric Dentistry in Indianapolis, Indiana. Pediatric Dentistry West, Llc practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Pediatric Dentistry West, Llc is 1366489627. The last update date is 2020-08-22.

Pediatric Dentistry West, Llc's current location address is 8930 W 10th St, Indianapolis, Indiana. You can contact this provider via phone number 3172716060 and fax number 3172716065. The mailing address for Pediatric Dentistry West, Llc is 8930 W 10th St, Indianapolis, Indiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Pediatric Dentistry West, Llc
Address 8930 W 10th St, Indianapolis, Indiana
Phone Number 3172716060
Fax Number 3172716065
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PEDIATRIC
Authorized Official Name Thompson I Mark
Credentials D.D.S.
Telephone Number 3172716060

NPI Number Detail

NPI Number 1366489627
Provider Enumeration Date 2006-06-02
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 8930 W 10th St
City Indianapolis
State Indiana (IN)
Post Code 462342132
Phone Number 3172716060
Fax Number 3172716065

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
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.

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FAQs about Pediatric Dentistry West, Llc

What is the unique identifier code issued to Pediatric Dentistry West, Llc by the Centers for Medicare & Medicaid Services?

The Pediatric Dentistry West, Llc has been assigned the NPI (National Provider Identifier) 1366489627. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Pediatric Dentistry West, Llc?

The Pediatric Dentistry West, Llc is situated at 8930 W 10Th St, in the city of Indianapolis, state of IN, with the zip code 462342132.

What is the area of specialization for Pediatric Dentistry West, Llc, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Pediatric Dentistry West, Llc is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0221X.

On what date did the Pediatric Dentistry West, Llc receive its 1366489627 assignment from the Centers for Medicare & Medicaid Services?

The Pediatric Dentistry West, Llc was assigned its 1366489627 by the Centers for Medicare & Medicaid Services on 2006-06-02.

When was the information regarding Pediatric Dentistry West, Llc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Pediatric Dentistry West, Llc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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