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Contact Information

ADVANCED DENTAL CARE OF ANDERSON LLC
1612 E 53RD ST
ANDERSON, IN46013-2826
 Phone: 765-622-7000
 Fax: 765-622-9642
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for ADVANCED DENTAL CARE OF ANDERSON LLC

NPI Number 1689088601
LBN Legal business name ADVANCED DENTAL CARE OF ANDERSON LLC
Authorized official JAMES ELBRECHT - (DENTIST)
Entity Organization
Organization subpart 1 No
Enumeration date 06/18/2014
Last updated 06/18/2014 - About 12 years ago
Identifiers
IN License # 12010047A
IN Medicaid 200283200
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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