Danville Dental Clinic, Pc

LBN: Danville Dental Clinic, Pc
Danville Dental Clinic, Pc is an health care organization with primary practice located at 2166 E Main St , Danville IN 46122-9082. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Danville Dental Clinic, Pc can be contacted via phone (317) 745-7711, or through Beaty, Michael Clark via phone (317) 745-7711.

Contact Information

Primary practice address
2166 E Main St Danville IN 46122-9082
Phone: (317) 745-7711
Fax: (317) 745-1744
Website:
Map and Directions
Authorized official contact:
Name: Beaty, Michael Clark
Phone: (317) 745-7711

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12009222A Indiana
Dental Providers / General Practice 1223G0001X 12010827A Indiana
Dental Providers / General Practice 1223G0001X 12006829A Indiana

Profile Details

NPI number 1811022924
LBN Legal business name Danville Dental Clinic, Pc
DBA Doing business as
Authorized official Beaty, Michael Clark
Entity Organization
Organization subpart 1 No
Enumeration date Feb 22nd, 2007
Last updated Sep 2nd, 2009 - about 17 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 1811022924 NPPES
Indiana MEDICAID 100133940A
Indiana Other 0000607321

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