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Contact Information

A-1 MEDICAID DENTAL GROUP
610 W 11TH ST
BICKNELL, IN47512-9627
 Phone: 812-735-2121
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for A-1 MEDICAID DENTAL GROUP

NPI # 1932484649
LBN Legal business name A-1 MEDICAID DENTAL GROUP
Authorized official STEPHEN WILLIAMS - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 10/13/2011
Last updated 10/13/2011 - About 15 years ago
Identifiers
IN License # 7704IN
IN License # 7719IN
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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