Dr J Pediatric Dentistry Llc

LBN: Dr J Pediatric Dentistry Llc
Dr J Pediatric Dentistry Llc is an health care organization with primary practice located at 10820 Pendleton Pike Ste B , Indianapolis IN 46236-2952. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Dr J Pediatric Dentistry Llc can be contacted via phone (317) 938-1181, or through Yepes, Juan Fernando via phone (317) 938-1181.

Contact Information

Primary practice address
10820 Pendleton Pike Ste B Indianapolis IN 46236-2952
Phone: (317) 938-1181
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Yepes, Juan Fernando Doctor of Dental Surgery (DDS)
Phone: (317) 938-1181

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 12012166A Indiana

Profile Details

NPI number 1629522289
LBN Legal business name Dr J Pediatric Dentistry Llc
DBA Doing business as
Authorized official Yepes, Juan Fernando Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 11th, 2016
Last updated Aug 11th, 2016 - about 8 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 1629522289 NPPES
Indiana MEDICAID 60003191

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