Gregg C Mazonas Dds Pc

LBN: Gregg C Mazonas Dds Pc
Gregg C Mazonas Dds Pc is an health care organization with primary practice located at 1818 N Riley Hwy , Shelbyville IN 46176-0070. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Gregg C Mazonas Dds Pc can be contacted via phone (317) 392-3231, or through Mazonas, Gregg C via phone (317) 392-3231.

Contact Information

Primary practice address
1818 N Riley Hwy Shelbyville IN 46176-0070
Phone: (317) 392-3231
Fax: (317) 392-3233
Website:
Map and Directions
Authorized official contact:
Name: Mazonas, Gregg C Doctor of Dental Surgery (DDS)
Phone: (317) 392-3231

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12008860A Indiana

Profile Details

NPI number 1518054428
LBN Legal business name Gregg C Mazonas Dds Pc
DBA Doing business as
Authorized official Mazonas, Gregg C Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 10th, 2006
Last updated Aug 6th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1518054428 NPPES
Indiana MEDICAID 200244850A

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