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Contact Information

BACSA DENTAL PC
4625 S EMERSON AVE
INDIANAPOLIS, IN46203-5972
 Phone: 317-784-5555
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Preferred Provider Organization

305R00000X
Indicates primary specialty

NPI Profile & details for BACSA DENTAL PC

NPI # 1912139841
LBN Legal business name BACSA DENTAL PC
Authorized official TIMOTHY BACSA - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 08/11/2009
Last updated 08/11/2009 - About 17 years ago
Identifiers
IN License # 12010741A
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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