Edgewood Dental, Llp
LBN: Edgewood Dental, Llp
Edgewood Dental, Llp is an health care organization with primary practice located at 3008 Franklin St , Michigan City IN 46360-4636. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty.
Edgewood Dental, Llp can be contacted via phone (219) 872-2110, or through Haughtington, Valerie via phone (219) 872-2110.
Contact Information
Primary practice address
3008 Franklin St
Michigan City IN 46360-4636
Phone: (219) 872-2110
Fax: (219) 872-1082
Website:
Authorized official contact:
Name: Haughtington, Valerie Doctor of Dental Surgery (DDS)
Phone: (219) 872-2110
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | 12009354 |
Profile Details
| NPI number | 1124542139 |
|---|---|
| LBN Legal business name | Edgewood Dental, Llp |
| DBA Doing business as | |
| Authorized official | Haughtington, Valerie Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Aug 1st, 2017 |
| Last updated | Aug 1st, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124542139 | NPPES |
| Indiana | Other | 1053411645 | PROVIDER NPI |
| Indiana | MEDICAID | 100376490B | PROVIDER NPI |
| Indiana | Other | 1245390236 | PROVIDER NPI |
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