Immediadent

LBN: Immediadent Of Indiana, P.C.
Immediadent is an health care organization with primary practice located at 3269 W. 86Th Street Suite A-2, Indianapolis IN 46268-3822. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Immediadent Of Indiana, P.C. can be contacted via phone (317) 542-3440, or through Wheeler, Amy via phone (913) 800-6952.

Contact Information

Primary practice address
3269 W. 86Th Street Suite A-2 Indianapolis IN 46268-3822
Phone: (317) 542-3440
Fax: (913) 800-6967
Website:
Map and Directions
Authorized official contact:
Name: Wheeler, Amy
Phone: (913) 800-6952

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X Indiana

Profile Details

NPI number 1063560555
LBN Legal business name Immediadent Of Indiana, P.C.
DBA Doing business as Immediadent
Authorized official Wheeler, Amy
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 8th, 2007
Last updated Apr 12th, 2017 - 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 1063560555 NPPES
Indiana MEDICAID 200377170

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