Aspen Dental Group, Pc

LBN: Aspen Dental Group, Pc
Aspen Dental Group, Pc is an health care organization with primary practice located at 3725 Rome Dr Ste A , Lafayette IN 47905-4490. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Aspen Dental Group, Pc can be contacted via phone (765) 447-2725, or through Jones, Heath W. via phone (765) 447-2725.

Contact Information

Primary practice address
3725 Rome Dr Ste A Lafayette IN 47905-4490
Phone: (765) 447-2725
Fax: (765) 449-2373
Website:
Map and Directions
Authorized official contact:
Name: Jones, Heath W. Doctor of Dental Surgery (DDS)
Phone: (765) 447-2725

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / General Practice 1223G0001X 12009872A Indiana

Profile Details

NPI number 1003902784
LBN Legal business name Aspen Dental Group, Pc
DBA Doing business as
Authorized official Jones, Heath W. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Feb 22nd, 2013 - about 11 years ago

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 1003902784 NPPES
Indiana MEDICAID 200428580

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