Lafayette Oral And Maxillofacial Surgery Group, P.C.
LBN: Lafayette Oral And Maxillofacial Surgery Group, P.C.
Lafayette Oral And Maxillofacial Surgery Group, P.C. is an health care organization with primary practice located at 2 Executive Dr Suite A, Lafayette IN 47905-4859. The organization recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty.
Lafayette Oral And Maxillofacial Surgery Group, P.C. can be contacted via phone (765) 807-0230, or through Henrikson, Brett Anthony via phone (765) 807-0230.
Contact Information
Primary practice address
2 Executive Dr Suite A
Lafayette IN 47905-4859
Phone: (765) 807-0230
Fax: (765) 807-0234
Website:
Authorized official contact:
Name: Henrikson, Brett Anthony Doctor of Dental Surgery (DDS)
Phone: (765) 807-0230
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 1201055A | Indiana |
Profile Details
| NPI number | 1972685238 |
|---|---|
| LBN Legal business name | Lafayette Oral And Maxillofacial Surgery Group, P.C. |
| DBA Doing business as | |
| Authorized official | Henrikson, Brett Anthony Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 19th, 2006 |
| Last updated | Aug 22nd, 2020 - about 4 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1972685238 | NPPES |
| Indiana | Other | 600000340871 | ANTHEM BC/BS |
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