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Contact Information

DENTAL PROFESSIONALS OF INDIANA, P.C.
10505 LIMA ROAD
FORT WAYNE, IN46818
 Phone: 260-484-9248
 Fax: 260-482-7217
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for DENTAL PROFESSIONALS OF INDIANA, P.C.

NPI Number 1124240635
LBN Legal business name DENTAL PROFESSIONALS OF INDIANA, P.C.
Authorized official JENNIFER HOELSCHER - (INS COOD)
Entity Organization
Organization subpart 1 Yes
Enumeration date 05/03/2007
Last updated 06/05/2014 - About 12 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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