The Muncie Dental Place L.L.C.
LBN: The Muncie Dental Place L.L.C.
The Muncie Dental Place L.L.C. is an health care organization with primary practice located at 1804 W Mcgalliard Rd , Muncie IN 47304-2209. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
The Muncie Dental Place L.L.C. can be contacted via phone (765) 282-5655, or through Watkins, Teresa Michelle via phone (765) 282-5655.
Contact Information
Primary practice address
1804 W Mcgalliard Rd
Muncie IN 47304-2209
Phone: (765) 282-5655
Fax: (765) 587-0103
Website:
Authorized official contact:
Name: Watkins, Teresa Michelle Doctor of Dental Surgery (DDS)
Phone: (765) 282-5655
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12010271A | Indiana |
| Dental Providers / General Practice | 1223G0001X | 12011056A | Indiana |
Profile Details
| NPI number | 1508133638 |
|---|---|
| LBN Legal business name | The Muncie Dental Place L.L.C. |
| DBA Doing business as | |
| Authorized official | Watkins, Teresa Michelle Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Nov 17th, 2011 |
| Last updated | Nov 17th, 2011 - about 14 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 | 1508133638 | NPPES |
| Indiana | MEDICAID | 200888510 | |
| Indiana | MEDICAID | 200962440 |
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