Prime Smile West

LBN: Indy West Smiles Youth Dentistry, Llc
Prime Smile West is an health care organization with primary practice located at 2802 Lafayette Road Suite 33, Indianapolis IN 46222. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Indy West Smiles Youth Dentistry, Llc can be contacted via phone (317) 925-2810, or through Peterson, Helen K. via phone (317) 925-2810.

Contact Information

Primary practice address
2802 Lafayette Road Suite 33 Indianapolis IN 46222
Phone: (317) 925-2810
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Peterson, Helen K. Doctor of Dental Surgery (DDS)
Phone: (317) 925-2810

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1134164445
LBN Legal business name Indy West Smiles Youth Dentistry, Llc
DBA Doing business as Prime Smile West
Authorized official Peterson, Helen K. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2006
Last updated Jul 1st, 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 1134164445 NPPES
Indiana MEDICAID 200434530A

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