South Street Family Dental

LBN: Lifetime Dental Care Of Indiana
South Street Family Dental is an health care organization with primary practice located at 103 North Farabee Drive Suite C, Lafayette IN 47905. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Lifetime Dental Care Of Indiana can be contacted via phone (765) 447-7200, or through Kroeger, Amy via phone (217) 540-5100.

Contact Information

Primary practice address
103 North Farabee Drive Suite C Lafayette IN 47905
Phone: (765) 447-7200
Fax: (765) 449-0976
Website:
Map and Directions
Authorized official contact:
Name: Kroeger, Amy
Phone: (217) 540-5100

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1780897009
LBN Legal business name Lifetime Dental Care Of Indiana
DBA Doing business as South Street Family Dental
Authorized official Kroeger, Amy
Entity Organization
Organization subpart 1 No
Enumeration date May 7th, 2007
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.

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