Prime Smile East

LBN: Indy East Smiles Youth Dentistry Llc
Prime Smile East is an health care organization with primary practice located at 5430 East Washington Street Suite 101, Indianapolis IN 46219. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Indy East Smiles Youth Dentistry Llc can be contacted via phone (317) 322-1840, or through Peterson, Helen K. via phone (317) 322-1840.

Contact Information

Primary practice address
5430 East Washington Street Suite 101 Indianapolis IN 46219
Phone: (317) 322-1840
Fax: (615) 986-1705
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Helen K. Doctor of Dental Surgery (DDS)
Phone: (317) 322-1840

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1013952696
LBN Legal business name Indy East Smiles Youth Dentistry Llc
DBA Doing business as Prime Smile East
Authorized official Peterson, Helen K. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 18th, 2006
Last updated Jun 24th, 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 1013952696 NPPES
Indiana MEDICAID 200361860A

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