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Contact Information

96TH STREET FAMILY DENTISTRY LLC
7862 E 96TH ST
FISHERS, IN46037-9629
 Phone: 317-576-9393
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 96TH STREET FAMILY DENTISTRY LLC

NPI # 1124735782
LBN Legal business name 96TH STREET FAMILY DENTISTRY LLC
Authorized official MEGAN MUNCHEL - (REGIONAL MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 11/03/2022
Last updated 11/03/2022 - 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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