Hometown Family Dental

LBN: Hometown Family Dental
Hometown Family Dental is an health care organization with primary practice located at 1005 Lincoln St , Hobart IN 46342-6082. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Hometown Family Dental can be contacted via phone (219) 942-4858, or through Jackson, Sara via phone (219) 942-4858.

Contact Information

Primary practice address
1005 Lincoln St Hobart IN 46342-6082
Phone: (219) 942-4858
Fax: (219) 942-4036
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Sara Doctor of Dental Surgery (DDS)
Phone: (219) 942-4858

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1649987470
LBN Legal business name Hometown Family Dental
DBA Doing business as
Authorized official Jackson, Sara Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2022
Last updated Nov 1st, 2022 - about 2 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 1649987470 NPPES
Indiana MEDICAID 300060040

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