Indiana University School Of Dentistry
LBN: Indiana University
Indiana University School Of Dentistry is an health care organization with primary practice located at 1121 W Michigan St , Indianapolis IN 46202-5211. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty.
Indiana University can be contacted via phone (317) 274-7433, or through Foster, Tina D via phone (317) 278-3632.
Contact Information
Primary practice address
1121 W Michigan St
Indianapolis IN 46202-5211
Phone: (317) 274-7433
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | ||
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Periodontics | 1223P0300X | ||
| Dental Providers / Prosthodontics | 1223P0700X | ||
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | ||
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X |
Profile Details
| NPI number | 1689790552 |
|---|---|
| LBN Legal business name | Indiana University |
| DBA Doing business as | Indiana University School Of Dentistry |
| Authorized official | Foster, Tina D |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Mar 22nd, 2007 |
| Last updated | Feb 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689790552 | NPPES |
| Indiana | MEDICAID | 100277260 |
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