INDY DENTAL HEALTH-SHELBYVILLE NPI 1184294837

NPI Information

NPI: 1184294837
Provider Name: INDY DENTAL HEALTH-SHELBYVILLE

Former Legal Business Name: SHELBYVILLE DENTAL

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

Specialization: Dental

Address:
122 LEE BLVD
SHELBYVILLE, IN
ZIP 46176
Phone: (317) 398-6399
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INDY DENTAL HEALTH-SHELBYVILLE is a dental clinic center in Shelbyville, IN. INDY DENTAL HEALTH-SHELBYVILLE NPI is 1184294837. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Shelbyville Dental.

The provider's business location address is:

122 LEE BLVD
SHELBYVILLE, IN
ZIP 46176-403
Phone: (317) 398-6399
Fax: (317) 398-6362

The provider's authorized official is Matthew Fraiz .
The authorized official title is Dentist-owner and has the following contact phone number (317) 872-3465.

The enumeration date for this NPI number is 6/25/2021 and was last updated on 6/25/2021.

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			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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