Highland Creek Family Dental

LBN: Shane T Cope Llc
Highland Creek Family Dental is an health care organization with primary practice located at 4921 State Road 26 E Suite 100, Lafayette IN 47905-4608. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Dental. Dental Providers / Dentist is the primary health care specialty. Shane T Cope Llc can be contacted via phone (765) 807-0592, or through Cope, Shane T via phone (765) 807-0592.

Contact Information

Primary practice address
4921 State Road 26 E Suite 100 Lafayette IN 47905-4608
Fax: (765) 269-7696
Website:
Authorized official contact:
Name: Cope, Shane T Doctor of Dental Surgery (DDS)

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Ambulatory Health Care Facilities / Dental 261QD0000X 12011052A Indiana

Profile Details

NPI number 1750724613
LBN Legal business name Shane T Cope Llc
DBA Doing business as Highland Creek Family Dental
Authorized official Cope, Shane T Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 10th, 2013
Last updated May 11th, 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 1750724613 NPPES
Indiana MEDICAID 200880660

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