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Contact Information

ACCESS DENTAL OF TERRE HAUTE LLC
3359 S US HIGHWAY 41
TERRE HAUTE, IN47802
 Phone: 812-645-4110
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ACCESS DENTAL OF TERRE HAUTE LLC

NPI Number 1013676675
LBN Legal business name ACCESS DENTAL OF TERRE HAUTE LLC
Authorized official ANDREA CARRILLO - (REGIONAL DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 12/10/2021
Last updated 12/10/2021 - About 4 years ago
Identifiers n/a
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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