Advanced Dental Llc

LBN: Emeline T. Davis
Advanced Dental Llc is an health care organization with primary practice located at 2955 Professional Ln , Terre Haute IN 47802-3300. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty. Emeline T. Davis can be contacted via phone (812) 232-4664, or through Davis, Emeline T. via phone (812) 232-4664.

Contact Information

Primary practice address
2955 Professional Ln Terre Haute IN 47802-3300
Phone: (812) 232-4664
Fax: (812) 234-5427
Website:
Map and Directions
Authorized official contact:
Name: Davis, Emeline T. Doctor of Dental Surgery (DDS)
Phone: (812) 232-4664

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X 12008723 Indiana
Dental Providers / Dentist 122300000X 12009834 Indiana
Dental Providers / Dentist 122300000X 12010103 Indiana

Profile Details

NPI number 1790766483
LBN Legal business name Emeline T. Davis
DBA Doing business as Advanced Dental Llc
Authorized official Davis, Emeline T. Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 9th, 2005
Last updated Apr 26th, 2010 - about 16 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 1790766483 NPPES
Indiana MEDICAID 100251550A

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