Indiana Periodontics

LBN: Jackson Periodontics
Indiana Periodontics is an health care organization with primary practice located at 45 N Madison Ave , Greenwood IN 46142-3526. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Jackson Periodontics can be contacted via phone (317) 887-3180, or through Jackson, Kristin M via phone (317) 887-3180.

Contact Information

Primary practice address
45 N Madison Ave Greenwood IN 46142-3526
Phone: (317) 887-3180
Fax: (317) 882-2718
Website:
Map and Directions
Authorized official contact:
Name: Jackson, Kristin M DDS, MSD
Phone: (317) 887-3180

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 12009767 Indiana

Profile Details

NPI number 1427143643
LBN Legal business name Jackson Periodontics
DBA Doing business as Indiana Periodontics
Authorized official Jackson, Kristin M DDS, MSD
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Jun 16th, 2011 - about 13 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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