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Contact Information

32 PEARLS FAMILY DENTISTRY, INC
15045 STATE ROAD 23
GRANGER, IN46530-9666
 Phone: 574-855-3829
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for 32 PEARLS FAMILY DENTISTRY, INC

NPI # 1255712154
LBN Legal business name 32 PEARLS FAMILY DENTISTRY, INC
Authorized official AVIS BARKER - (CEO/ DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/16/2015
Last updated 06/16/2015 - About 11 years ago
Identifiers
IN License # 12011066A
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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