Radcliffe Family Dental, Llc

LBN: Radcliffe Family Dental, Llc
Radcliffe Family Dental, Llc is an health care organization with primary practice located at 1901 Grant Street , Gary IN 46404-2761. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Radcliffe Family Dental, Llc can be contacted via phone (219) 880-1430, or through Radcliffe, Trinoda via phone (219) 880-1430.

Contact Information

Primary practice address
1901 Grant Street Gary IN 46404-2761
Phone: (219) 880-1430
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Radcliffe, Trinoda Doctor of Dental Surgery (DDS)
Phone: (219) 880-1430

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12010399A Indiana

Profile Details

NPI number 1023201175
LBN Legal business name Radcliffe Family Dental, Llc
DBA Doing business as
Authorized official Radcliffe, Trinoda Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 22nd, 2007
Last updated Jul 25th, 2008 - about 17 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 1023201175 NPPES
Indiana MEDICAID 200860520

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