Smiles By Doctor D

LBN: Anthony Dicostanzo Dds Pc
Smiles By Doctor D is an health care organization with primary practice located at 1123 Joliet St , Dyer IN 46311-1926. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Anthony Dicostanzo Dds Pc can be contacted via phone (219) 865-3303, or through Benne, Marti via phone (219) 865-3303.

Contact Information

Primary practice address
1123 Joliet St Dyer IN 46311-1926
Fax: (219) 865-3244
Website:
Authorized official contact:
Name: Benne, Marti

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12007851A Indiana

Profile Details

NPI number 1306227129
LBN Legal business name Anthony Dicostanzo Dds Pc
DBA Doing business as Smiles By Doctor D
Authorized official Benne, Marti
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2015
Last updated Jun 17th, 2015 - 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 1306227129 NPPES
Indiana MEDICAID 100168120A

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