Dean Family Dental Practice, Llc

LBN: Dean Family Dental Practice, Llc
Dean Family Dental Practice, Llc is an health care organization with primary practice located at 710 W Mill Rd , Evansville IN 47710-3928. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dean Family Dental Practice, Llc can be contacted via phone (812) 425-4251, or through Dean, Dianne E. via phone (812) 425-4251.

Contact Information

Primary practice address
710 W Mill Rd Evansville IN 47710-3928
Phone: (812) 425-4251
Fax: (812) 425-3086
Website:
Map and Directions
Authorized official contact:
Name: Dean, Dianne E.
Phone: (812) 425-4251

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12006932A Indiana
Dental Providers / General Practice 1223G0001X 12011866A Indiana

Profile Details

NPI number 1629415419
LBN Legal business name Dean Family Dental Practice, Llc
DBA Doing business as
Authorized official Dean, Dianne E.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 3rd, 2013
Last updated Jun 3rd, 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 1629415419 NPPES
Indiana MEDICAID 100241450A

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