Dental Consults Of Northeast Indiana, Pc

LBN: Dental Consults Of Northeast Indiana, Pc
Dental Consults Of Northeast Indiana, Pc is an health care organization with primary practice located at 11115 Lima Rd , Fort Wayne IN 46818-9536. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Dental Consults Of Northeast Indiana, Pc can be contacted via phone (260) 489-6544, or through Haller, Matthew David via phone (260) 489-6544.

Contact Information

Primary practice address
11115 Lima Rd Fort Wayne IN 46818-9536
Phone: (260) 489-6544
Fax: (260) 416-0544
Website:
Map and Directions
Authorized official contact:
Name: Haller, Matthew David Doctor of Dental Medicine (DMD)
Phone: (260) 489-6544

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12008792 Indiana

Profile Details

NPI number 1568580470
LBN Legal business name Dental Consults Of Northeast Indiana, Pc
DBA Doing business as
Authorized official Haller, Matthew David Doctor of Dental Medicine (DMD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 27th, 2007
Last updated Jun 18th, 2008 - about 17 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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