University Pediatric Dentistry Associates in Indianapolis - Periodontics
University Pediatric Dentistry Associates - NPI 1003947599
University Pediatric Dentistry Associates is a Periodontics in Indianapolis, Indiana. University Pediatric Dentistry Associates practices all healthcare services and medical treatments related to Periodontics. The NPI Number for University Pediatric Dentistry Associates is 1003947599. The last update date is 2013-02-19.
University Pediatric Dentistry Associates's current location address is 705 Riley Hospital Dr, Indianapolis, Indiana. You can contact this provider via phone number 3179449604 and fax number 3179480760. The mailing address for University Pediatric Dentistry Associates is 705 Riley Hospital Dr, Indianapolis, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | University Pediatric Dentistry Associates |
|---|---|
| Address | 705 Riley Hospital Dr, Indianapolis, Indiana |
| Phone Number | 3179449604 |
| Fax Number | 3179480760 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Sanders J Brian |
| Credentials | D.D.S., M. |
| Telephone Number | 3179449604 |
NPI Number Detail
| NPI Number | 1003947599 |
|---|---|
| Provider Enumeration Date | 2007-03-08 |
| Last Updated Date | 2013-02-19 |
Provider Mailing Address Detail
| Address | 705 Riley Hospital Dr |
|---|---|
| City | Indianapolis |
| State | Indiana (IN) |
| Post Code | 462025109 |
| Phone Number | 3179449604 |
| Fax Number | 3179480760 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100061940 | IN | -- | |
| 103337 | IN | CHILDREN SPECIAL HEALTH | |
| 100176300 | IN | -- | |
| 200331160 | IN | -- | |
| 200515490 | IN | -- | |
| 1003587 | IN | GROUP ID PRIV. INSUR | |
| 100087220 | IN | -- | |
| 100440160 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to University Pediatric Dentistry Associates by the Centers for Medicare & Medicaid Services?
The University Pediatric Dentistry Associates has been assigned the NPI (National Provider Identifier) 1003947599 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where University Pediatric Dentistry Associates's facilities are situated?
The facilities of University Pediatric Dentistry Associates are physically located at the following address: 705 Riley Hospital Dr, Indianapolis, IN, 462025109.
What is the area of specialization for University Pediatric Dentistry Associates, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for University Pediatric Dentistry Associates is Periodontics, and the corresponding taxonomy code that categorizes this area of expertise is 1223P0300X.
On what date did University Pediatric Dentistry Associates receive its 1003947599 assignment from the Centers for Medicare & Medicaid Services?
The University Pediatric Dentistry Associates was assigned its 1003947599 on 2007-03-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to University Pediatric Dentistry Associates last refreshed?
The information related to the University Pediatric Dentistry Associates, including its address, specialty, and other relevant details, was last updated on 2013-02-19.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH