National Provider Identifier Database

LIFETIME DENTAL CARE OF INDIANA PC
General Practice

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.


Contact Information

LIFETIME DENTAL CARE OF INDIANA, PC
3915 SOUTH MADISON AVE
SUITE 2
INDIANAPOLIS, IN46227
Phone: 317-788-1001
Fax: 317-788-1290
Website:
Specialty Taxonomy Code
* General Practice 1223G0001X

* Indicates primary specialty

NPI Profile & details for LIFETIME DENTAL CARE OF INDIANA, PC

NPI Number 1053523159
Legal business name
LBN
LIFETIME DENTAL CARE OF INDIANA, PC
Authorized official AMY KROEGER - (INS COOD)
Entity Organization
Organization subpart No
Enumeration date 05/03/2007
Last updated 08/22/2020 - About 6 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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