Hendricks Pediatric Dentistry, Llc

LBN: Hendricks Pediatric Dentistry, Llc
Hendricks Pediatric Dentistry, Llc is an health care organization with primary practice located at 1557 Windview , Brownsburg IN 46112-7641. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Hendricks Pediatric Dentistry, Llc can be contacted via phone (502) 314-3330, or through Shelton, Andrea via phone (502) 314-3330.

Contact Information

Primary practice address
1557 Windview Brownsburg IN 46112-7641
Phone: (502) 314-3330
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Shelton, Andrea
Phone: (502) 314-3330

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1265074710
LBN Legal business name Hendricks Pediatric Dentistry, Llc
DBA Doing business as
Authorized official Shelton, Andrea
Entity Organization
Organization subpart 1 No
Enumeration date Oct 16th, 2019
Last updated Oct 16th, 2019 - about 6 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 1265074710 NPPES
Indiana Other 12012911A IN DENTAL LICENSE
Indiana Other 1194160267 IN DENTAL LICENSE
Indiana MEDICAID 201375550 IN DENTAL LICENSE

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