K Luke Eades Dds Pc

LBN: K Luke Eades Dds Pc
K Luke Eades Dds Pc is an health care organization with primary practice located at 2810 S Walnut Street Pike , Bloomington IN 47401-8403. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. K Luke Eades Dds Pc can be contacted via phone (812) 336-2688, or through Eades, Kenneth Luke via phone (812) 336-2688.

Contact Information

Primary practice address
2810 S Walnut Street Pike Bloomington IN 47401-8403
Phone: (812) 336-2688
Fax: (812) 336-1090
Website:
Map and Directions
Authorized official contact:
Name: Eades, Kenneth Luke Doctor of Dental Surgery (DDS)
Phone: (812) 336-2688

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 54000865 Indiana

Profile Details

NPI number 1962670034
LBN Legal business name K Luke Eades Dds Pc
DBA Doing business as
Authorized official Eades, Kenneth Luke Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2008
Last updated Feb 18th, 2015 - about 10 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 1962670034 NPPES
Indiana Other 54000865 LICENSE NUMBER

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