University Pediatric Dentistry Associates

LBN: University Pediatric Dentistry Associates
University Pediatric Dentistry Associates is an health care organization with primary practice located at 705 Riley Hospital Dr Roc - Suite 4205, Indianapolis IN 46202-5109. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Pediatric Dentistry is the primary health care specialty. University Pediatric Dentistry Associates can be contacted via phone (317) 944-9604, or through Sanders, Brian J via phone (317) 944-9604.

Contact Information

Primary practice address
705 Riley Hospital Dr Roc - Suite 4205 Indianapolis IN 46202-5109
Phone: (317) 944-9604
Fax: (317) 948-0760
Website:
Map and Directions
Authorized official contact:
Name: Sanders, Brian J D.D.S., M.S.
Phone: (317) 944-9604

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / Pediatric Dentistry 1223P0221X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1003947599
LBN Legal business name University Pediatric Dentistry Associates
DBA Doing business as
Authorized official Sanders, Brian J D.D.S., M.S.
Entity Organization
Organization subpart 1 No
Enumeration date Mar 8th, 2007
Last updated Feb 19th, 2013 - about 11 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 1003947599 NPPES
Indiana MEDICAID 100061940
Indiana Other 103337
Indiana MEDICAID 100176300
Indiana MEDICAID 200331160
Indiana MEDICAID 200515490
Indiana Other 1003587
Indiana MEDICAID 100087220
Indiana MEDICAID 100440160

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