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Contact Information

GREAT LAKES FAMILY DENTAL GROUP-MUNCIE, P.C.
1003 W. MCGALLIARD ROAD
MUNCIE, IN47303
 Phone: 765-288-1307
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for GREAT LAKES FAMILY DENTAL GROUP-MUNCIE, P.C.

NPI # 1437557345
LBN Legal business name GREAT LAKES FAMILY DENTAL GROUP-MUNCIE, P.C.
Authorized official PATRICIA HART - (CORPORATE MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 12/09/2014
Last updated 12/09/2014 - About 11 years ago
Identifiers
IN License # 12012248A
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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