Standish, Elizabeth

Standish, Elizabeth is an individual health care provider with primary practice located at 2347 Cason St , Lafayette IN 47904-2670. She recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is her primary health care specialty. Standish, Elizabeth can be contacted via phone (765) 447-6808.

Contact Information

Primary practice address
2347 Cason St Lafayette IN 47904-2670
Phone: (765) 447-6808
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 31172 Texas
Dental Providers / Dentist 122300000X 12012992A Indiana
Dental Providers / Pediatric Dentistry 1223P0221X 12012992A Indiana

Profile Details

NPI number 1821472325
LBN Legal business name Standish, Elizabeth
Credentials D.D.S., M.S.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2015
Last updated May 13th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821472325 NPPES
Indiana MEDICAID 300029327A

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