86Th Street Complete Dental

LBN: 86Th Street Complete Dental Llc
86Th Street Complete Dental is an health care organization with primary practice located at 3810 W 86Th St , Indianapolis IN 46268. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. 86Th Street Complete Dental Llc can be contacted via phone (317) 707-6453, or through Singh, Mona P via phone (317) 748-4603.

Contact Information

Primary practice address
3810 W 86Th St Indianapolis IN 46268
Phone: (317) 707-6453
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Singh, Mona P
Phone: (317) 748-4603

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1194247940
LBN Legal business name 86Th Street Complete Dental Llc
DBA Doing business as 86Th Street Complete Dental
Authorized official Singh, Mona P
Entity Organization
Organization subpart 1 No
Enumeration date Jul 13th, 2017
Last updated Feb 26th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194247940 NPPES
Indiana MEDICAID 300015766

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