West 10Th Dental Group, Professional Corporation in Indianapolis - Pediatric Dentistry
West 10Th Dental Group, Professional Corporation - NPI 1578757191
West 10Th Dental Group, Professional Corporation is a Pediatric Dentistry in Indianapolis, Indiana. West 10Th Dental Group, Professional Corporation practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for West 10Th Dental Group, Professional Corporation is 1578757191. The last update date is 2007-08-28.
West 10Th Dental Group, Professional Corporation's current location address is 6443 W 10th St, Indianapolis, Indiana. You can contact this provider via phone number 3172479512. The mailing address for West 10Th Dental Group, Professional Corporation is 6443 W 10th St, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | West 10Th Dental Group, Professional Corporation |
|---|---|
| Address | 6443 W 10th St, Indianapolis, Indiana |
| Phone Number | 3172479512 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Barta J. Brent |
| Credentials | D.D.S. |
| Telephone Number | 3172479512 |
NPI Number Detail
| NPI Number | 1578757191 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 6443 W 10th St |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462146501 |
| Phone Number | 3172479512 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 12010589A |
|
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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Post Comment/ Review Below
What is the unique identifier code issued to West 10Th Dental Group, Professional Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The West 10Th Dental Group, Professional Corporation has been assigned the NPI (National Provider Identifier) 1578757191. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of West 10Th Dental Group, Professional Corporation?
The West 10Th Dental Group, Professional Corporation is physically situated at 6443 W 10Th St, in the city of Indianapolis, state of IN, with the postal code 462146501.
What is West 10Th Dental Group, Professional Corporation's area of expertise and its corresponding taxonomy classification?
The West 10Th Dental Group, Professional Corporation's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
When did West 10Th Dental Group, Professional Corporation receive its 1578757191 assignment?
The West 10Th Dental Group, Professional Corporation was assigned its 1578757191 on 2007-08-28, which is the date when this unique identifier was issued to the organization.
When was the information related to West 10Th Dental Group, Professional Corporation most recently updated or refreshed?
The details pertaining to the West 10Th Dental Group, Professional Corporation, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-28.