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MANCHESTER FAMILY DENTISTRY PC NPI 1316150675


NPI Information

NPI: 1316150675
Provider Name: MANCHESTER FAMILY DENTISTRY, PC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1301 STATE ROAD 13 W
NORTH MANCHESTER, IN
ZIP 46962
Phone: (260) 982-6042
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MANCHESTER FAMILY DENTISTRY, PC is a general practice dentist in North Manchester, IN. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MANCHESTER FAMILY DENTISTRY, PC NPI is 1316150675. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1301 STATE ROAD 13 W
NORTH MANCHESTER, IN
ZIP 46962-100
Phone: (260) 982-6042
Fax: (260) 982-6042

The provider's authorized official is Gwen M Metzger .
The authorized official title is Office Manager and has the following contact phone number (260) 982-6042.

The enumeration date for this NPI number is 5/7/2007 and was last updated on 8/22/2020.


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 Practice12010752AINDIANAYes

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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