Sonrisa-A Periodental Spa
LBN: Midwest Periodontal And Oral Reconstruction, P.C.
Sonrisa-A Periodental Spa is an health care organization with primary practice located at 508 Indiana Ave , Indianapolis IN 46202-3106. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Periodontics. Dental Providers / General Practice is the primary health care specialty.
Midwest Periodontal And Oral Reconstruction, P.C. can be contacted via phone (317) 269-0402, or through Mills, Brigitte via phone (317) 269-0402.
Contact Information
Primary practice address
508 Indiana Ave
Indianapolis IN 46202-3106
Phone: (317) 269-0402
Fax: (317) 269-0405
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | ||
| Dental Providers / Periodontics | 1223P0300X |
Profile Details
| NPI number | 1649359886 |
|---|---|
| LBN Legal business name | Midwest Periodontal And Oral Reconstruction, P.C. |
| DBA Doing business as | Sonrisa-A Periodental Spa |
| Authorized official | Mills, Brigitte |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 6th, 2006 |
| Last updated | Jul 2nd, 2008 - about 16 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 | 1649359886 | NPPES |
| Indiana | MEDICAID | 200533430A |
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