Greene Endodontics, Llc

LBN: Greene Endodontics, Llc
Greene Endodontics, Llc is an health care organization with primary practice located at 3811 Fairview Dr , Anderson IN 46013-4059. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Greene Endodontics, Llc can be contacted via phone (765) 649-1277, or through Greene, Ryan Joseph via phone (765) 649-1277.

Contact Information

Primary practice address
3811 Fairview Dr Anderson IN 46013-4059
Phone: (765) 649-1277
Fax: (765) 357-9121
Website:
Map and Directions
Authorized official contact:
Name: Greene, Ryan Joseph
Phone: (765) 649-1277

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1821562307
LBN Legal business name Greene Endodontics, Llc
DBA Doing business as
Authorized official Greene, Ryan Joseph
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2019
Last updated Jan 17th, 2019 - about 7 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 1821562307 NPPES
Indiana MEDICAID 300013383

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