Tamara Eaton Dds Pc

LBN: Tamara Eaton Dds Pc
Tamara Eaton Dds Pc is an health care organization with primary practice located at 1213 E Coolspring Ave , Michigan City IN 46360-6319. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Tamara Eaton Dds Pc can be contacted via phone (219) 872-9151, or through Wilde, Candace via phone (219) 210-3495.

Contact Information

Primary practice address
1213 E Coolspring Ave Michigan City IN 46360-6319
Phone: (219) 872-9151
Fax: (219) 873-3341
Website:
Map and Directions
Authorized official contact:
Name: Wilde, Candace
Phone: (219) 210-3495

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 12009857A Indiana

Profile Details

NPI number 1245605542
LBN Legal business name Tamara Eaton Dds Pc
DBA Doing business as
Authorized official Wilde, Candace
Entity Organization
Organization subpart 1 No
Enumeration date Dec 11th, 2015
Last updated Dec 11th, 2015 - about 11 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 1245605542 NPPES
Indiana MEDICAID 200384300A

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