Brighter Image Dental

LBN: Yen Wagner Dds Llc
Brighter Image Dental is an health care organization with primary practice located at 3965 N Meridian St Apt 1C , Indianapolis IN 46208-4035. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Yen Wagner Dds Llc can be contacted via phone (317) 925-5811, or through Wagner, Yen via phone (317) 925-5811.

Contact Information

Primary practice address
3965 N Meridian St Apt 1C Indianapolis IN 46208-4035
Phone: (317) 925-5811
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Wagner, Yen Doctor of Dental Surgery (DDS)
Phone: (317) 925-5811

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X 12010286A Indiana

Profile Details

NPI number 1316277411
LBN Legal business name Yen Wagner Dds Llc
DBA Doing business as Brighter Image Dental
Authorized official Wagner, Yen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 12th, 2010
Last updated Jan 12th, 2010 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316277411 NPPES
Indiana MEDICAID 200919550

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