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Contact Information

AFFINITY DENTAL AVON LLC
110B N AVON AVE
AVON, IN46123-8475
 Phone: 317-898-3333
 Fax: 317-960-5333
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for AFFINITY DENTAL AVON LLC

NPI Number 1174464440
LBN Legal business name AFFINITY DENTAL AVON LLC
Authorized official SRINIVAS DURSHANAPALLI - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 04/02/2026
Last updated 04/02/2026 - About 2 months 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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