Carl A. Smudde

LBN: Carl A. Smudde
Carl A. Smudde is an health care organization with primary practice located at 1608 Lafayette Ave , Terre Haute IN 47804-2021. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Carl A. Smudde can be contacted via phone (812) 466-9826, or through Smudde, Carl A via phone (812) 466-9826.

Contact Information

Primary practice address
1608 Lafayette Ave Terre Haute IN 47804-2021
Phone: (812) 466-9826
Fax: (812) 466-1720
Website:
Map and Directions
Authorized official contact:
Name: Smudde, Carl A
Phone: (812) 466-9826

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12007519 Indiana

Profile Details

NPI number 1134424930
LBN Legal business name Carl A. Smudde
DBA Doing business as
Authorized official Smudde, Carl A
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2011
Last updated Jan 26th, 2011 - about 13 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 1134424930 NPPES
Indiana Other 100250380A MEDICAID

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