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Contact Information

W MICHAEL PRINCELL DDS PC
7207 N SHADELAND AVE
SUITE A
INDIANAPOLIS, IN46250
 Phone: 317-577-2478
 Fax: 317-578-8773
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for W MICHAEL PRINCELL DDS PC

NPI Number 1053459545
LBN Legal business name W MICHAEL PRINCELL DDS PC
Authorized official MARTINA PRINCELL - (OFFICE ADMIN)
Entity Organization
Organization subpart 1 No
Enumeration date 02/05/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
IN License # 12009143
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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