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COMMUNITY DENTAL CLINIC NPI 1114241494


NPI Information

NPI: 1114241494
Provider Name: COMMUNITY DENTAL CLINIC
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

CLIA Number: 15D2228234

Address:
7750 W 200 S
TOPEKA, IN
ZIP 46571
Phone: (260) 768-7918
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COMMUNITY DENTAL CLINIC is a dental clinic center in Topeka, IN. COMMUNITY DENTAL CLINIC NPI is 1114241494. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

7750 W 200 S
TOPEKA, IN
ZIP 46571-436
Phone: (260) 768-7918
Fax: (260) 768-7983

The provider's authorized official is Lisa Marie Leniski .
The authorized official title is Clinic Director and has the following contact phone number (260) 768-7918.

The CLIA number assigned to this NPI record is 15D2228234 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/16/2010 and was last updated on 3/16/2010.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeNo
21223P0221XDentistPediatric DentistryNo
3261QD0000XClinic/CenterDentalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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