Lafayette Street Dental Clinic

LBN: Purdue University
Lafayette Street Dental Clinic is an health care organization with primary practice located at 2700 South Lafayette Street , Fort Wayne IN 46806. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Purdue University can be contacted via phone (260) 744-1188, or through Vaughan, Joan M via phone (765) 496-1927.

Contact Information

Primary practice address
2700 South Lafayette Street Fort Wayne IN 46806
Phone: (260) 744-1188
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vaughan, Joan M
Phone: (765) 496-1927

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X

Profile Details

NPI number 1326249376
LBN Legal business name Purdue University
DBA Doing business as Lafayette Street Dental Clinic
Authorized official Vaughan, Joan M
Entity Organization
Organization subpart 1 Yes
Enumeration date May 29th, 2007
Last updated Jul 23rd, 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.

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