Immediadent

LBN: Dental Services Of Indiana, P.C.
Immediadent is an health care organization with primary practice located at 532 East 81St Avenue , Merrillville IN 46410. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Dental Services Of Indiana, P.C. can be contacted via phone (913) 428-1686, or through Long, Monica L via phone (913) 428-1686.

Contact Information

Primary practice address
532 East 81St Avenue Merrillville IN 46410
Phone: (913) 428-1686
Fax: (913) 752-9116
Website:
Map and Directions
Authorized official contact:
Name: Long, Monica L
Phone: (913) 428-1686

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1144746314
LBN Legal business name Dental Services Of Indiana, P.C.
DBA Doing business as Immediadent
Authorized official Long, Monica L
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 18th, 2017
Last updated Aug 18th, 2017 - about 7 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 1144746314 NPPES
Indiana MEDICAID PENDING

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