Indiana University School Of Dentistry

LBN: Indiana University
Indiana University School Of Dentistry is an health care organization with primary practice located at 1121 W Michigan St , Indianapolis IN 46202-5211. The organization recently has 6 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Prosthodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Indiana University can be contacted via phone (317) 274-7433, or through Foster, Tina D via phone (317) 278-3632.

Contact Information

Primary practice address
1121 W Michigan St Indianapolis IN 46202-5211
Phone: (317) 274-7433
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Foster, Tina D
Phone: (317) 278-3632

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1689790552
LBN Legal business name Indiana University
DBA Doing business as Indiana University School Of Dentistry
Authorized official Foster, Tina D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2007
Last updated Feb 24th, 2023 - about 3 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 1689790552 NPPES
Indiana MEDICAID 100277260

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