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HENDRICKS PEDIATRIC DENTISTRY LLC NPI 1265074710


NPI Information

NPI: 1265074710
Provider Name: HENDRICKS PEDIATRIC DENTISTRY, LLC
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1557 WINDVIEW
BROWNSBURG, IN
ZIP 46112
Phone: (502) 314-3330
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HENDRICKS PEDIATRIC DENTISTRY, LLC is a pediatric dentistry dentist in Brownsburg, IN. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. HENDRICKS PEDIATRIC DENTISTRY, LLC NPI is 1265074710. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1557 WINDVIEW
BROWNSBURG, IN
ZIP 46112-641
Phone: (502) 314-3330

The provider's authorized official is Andrea Shelton .
The authorized official title is Dentist and has the following contact phone number (502) 314-3330.

The enumeration date for this NPI number is 10/16/2019 and was last updated on 10/16/2019.


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
11223P0221XDentistPediatric DentistryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1201375550MEDICAIDINDIANA
21194160267OTHERNPI TYPE 1
312012911AOTHERINDIANAIN DENTAL LICENSE

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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