Indiana Tmj Treatment Center

LBN: Indiana Tmj Treatment Center
Indiana Tmj Treatment Center is an health care organization with primary practice located at 210 East Water Street , Pendleton IN 46064-0206. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Indiana Tmj Treatment Center can be contacted via phone (765) 778-3332, or through Lau, Kenneth via phone (765) 778-3332.

Contact Information

Primary practice address
210 East Water Street Pendleton IN 46064-0206
Fax: (765) 778-4860
Website:
Authorized official contact:
Name: Lau, Kenneth Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7161 Indiana

Profile Details

NPI number 1912955832
LBN Legal business name Indiana Tmj Treatment Center
DBA Doing business as
Authorized official Lau, Kenneth Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 4th, 2006
Last updated May 20th, 2009 - about 15 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 1912955832 NPPES
Indiana Other 000000196290 BLUE CROSS AND BLUE SHIEL

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