HOOSIER PEDIATRIC DENTAL GROUP NPI 1053711606

NPI Information

NPI: 1053711606
Provider Name: HOOSIER PEDIATRIC DENTAL GROUP
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
306 S BALDWIN AVE
MARION, IN
ZIP 46952
Phone: (765) 201-0313
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HOOSIER PEDIATRIC DENTAL GROUP is a pediatric dentistry dentist in Marion, 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. HOOSIER PEDIATRIC DENTAL GROUP NPI is 1053711606. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

306 S BALDWIN AVE
MARION, IN
ZIP 46952-528
Phone: (765) 201-0313

The provider's authorized official is Ajay P Joshi .
The authorized official title is Pediatric Dentist/owner and has the following contact phone number (317) 213-7454.

The enumeration date for this NPI number is 9/2/2014 and was last updated on 9/2/2014.

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	1223P0221X	Dentist	Pediatric Dentistry	12010878A	INDIANA	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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