Hale Family Dentistry Corp
LBN: Hale Family Dentistry Corp
Hale Family Dentistry Corp is an health care organization with primary practice located at 4116 E State Blvd , Fort Wayne IN 46815-6977. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Suppliers / Customized Equipment. Dental Providers / Dentist is the primary health care specialty.
Hale Family Dentistry Corp can be contacted via phone (260) 482-3759, or through Hale, Cassandra via phone (260) 482-3759.
Contact Information
Primary practice address
4116 E State Blvd
Fort Wayne IN 46815-6977
Phone: (260) 482-3759
Fax: (260) 846-6641
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | ||
| Suppliers / Customized Equipment | 332BC3200X |
Profile Details
| NPI number | 1912569492 |
|---|---|
| LBN Legal business name | Hale Family Dentistry Corp |
| DBA Doing business as | |
| Authorized official | Hale, Cassandra |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 3rd, 2019 |
| Last updated | May 1st, 2023 - about 2 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 | 1912569492 | NPPES |
| Indiana | MEDICAID | 300067224 |
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