Indigo Dental Inc in Daytona Beach - Dental
Indigo Dental Inc - NPI 1699861336
Indigo Dental Inc is a Dental in Daytona Beach, Florida. Indigo Dental Inc practices all healthcare services and medical treatments related to Dental. The NPI Number for Indigo Dental Inc is 1699861336. The last update date is 2014-11-24.
Indigo Dental Inc's current location address is 139 Executive Cir, Daytona Beach, Florida. You can contact this provider via phone number 3862533629 and fax number 3862533620. The mailing address for Indigo Dental Inc is 139 Executive Cir, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Indigo Dental Inc |
|---|---|
| Address | 139 Executive Cir, Daytona Beach, Florida |
| Phone Number | 3862533629 |
| Fax Number | 3862533620 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PRES |
|---|---|
| Authorized Official Name | Lloyd Robert David |
| Credentials | DDS |
| Telephone Number | 3862533629 |
NPI Number Detail
| NPI Number | 1699861336 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2014-11-24 |
Provider Mailing Address Detail
| Address | 139 Executive Cir |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321141198 |
| Phone Number | 3862533629 |
| Fax Number | 3862533620 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | DN0013454 |
|
Definition: Provides general and specialized dental care and oral surgery. |
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What is the unique identifier code issued to Indigo Dental Inc by the Centers for Medicare & Medicaid Services?
The Indigo Dental Inc has been assigned the NPI (National Provider Identifier) 1699861336. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Indigo Dental Inc is physically located?
The Indigo Dental Inc is physically situated at the following address: 139 Executive Cir, Daytona Beach, FL, 321141198.
What is Indigo Dental Inc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Indigo Dental Inc's specialized field of practice is Dental, and the corresponding taxonomy code that categorizes this area of specialization is 261Qd0000X.
When did Indigo Dental Inc receive its 1699861336 assignment?
The Indigo Dental Inc was assigned its 1699861336 on 2006-10-04, which is the date when this unique identifier was issued to the organization.
When was the Indigo Dental Inc's information last updated?
The Indigo Dental Inc's information was last updated on 2014-11-24.
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