Hale Family Dentistry Corp

LBN: Hale Family Dentistry Corp
Hale Family Dentistry Corp is an health care organization with primary practice located at 4116 E State Blvd , Fort Wayne IN 46815-6977. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty. Hale Family Dentistry Corp can be contacted via phone (260) 482-3759, or through Hale, Cassandra via phone (260) 482-3759.

Contact Information

Primary practice address
4116 E State Blvd Fort Wayne IN 46815-6977
Phone: (260) 482-3759
Fax: (260) 846-6641
Website:
Map and Directions
Authorized official contact:
Name: Hale, Cassandra
Phone: (260) 482-3759

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Suppliers / Customized Equipment 332BC3200X

Profile Details

NPI number 1912569492
LBN Legal business name Hale Family Dentistry Corp
DBA Doing business as
Authorized official Hale, Cassandra
Entity Organization
Organization subpart 1 No
Enumeration date Jul 3rd, 2019
Last updated May 1st, 2023 - about last year

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 1912569492 NPPES
Indiana MEDICAID 300067224

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