A-1 Medicaid Dental Group

LBN: A-1 Medicaid Dental Group
A-1 Medicaid Dental Group is an health care organization with primary practice located at 610 W 11Th St , Bicknell IN 47512-9627. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. A-1 Medicaid Dental Group can be contacted via phone (812) 735-2121, or through Williams, Stephen Kent via phone (812) 735-2121.

Contact Information

Primary practice address
610 W 11Th St Bicknell IN 47512-9627
Phone: (812) 735-2121
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Williams, Stephen Kent Doctor of Dental Surgery (DDS)
Phone: (812) 735-2121

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 7719IN Indiana
Dental Providers / General Practice 1223G0001X 7704IN Indiana

Profile Details

NPI number 1932484649
LBN Legal business name A-1 Medicaid Dental Group
DBA Doing business as
Authorized official Williams, Stephen Kent Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Oct 13th, 2011
Last updated Oct 13th, 2011 - about 15 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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