INDIGO DENTAL INC NPI 1699861336

NPI Information

NPI: 1699861336
Provider Name: INDIGO DENTAL INC

Doing Business As: INDIGO DENTAL

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
139 EXECUTIVE CIR
SUITE 101
DAYTONA BEACH, FL
ZIP 32114
Phone: (386) 253-3629
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INDIGO DENTAL INC is a dental clinic center in Daytona Beach, FL. INDIGO DENTAL INC NPI is 1699861336. The provider is registered as an organization entity type.
The provider Is Doing Business As Indigo Dental.

The provider's business location address is:

139 EXECUTIVE CIR
SUITE 101
DAYTONA BEACH, FL
ZIP 32114-198
Phone: (386) 253-3629
Fax: (386) 253-3620

The provider's authorized official is David Robert Lloyd .
The authorized official title is Owner/president and has the following contact phone number (386) 253-3629.

The enumeration date for this NPI number is 10/4/2006 and was last updated on 11/24/2014.

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
1	261QD0000X	Clinic/Center	Dental	DN0013454	FLORIDA	Yes

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

NPI Synchronization or Removal

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