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STRADLEY HAGERTY LLC NPI 1407061013


NPI Information

NPI: 1407061013
Provider Name: STRADLEY HAGERTY LLC

Doing Business As: STRADLEY HAGERTY LLC

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
112 E. TENTH ST
GREENSBURG, IN
ZIP 47240
Phone: (812) 663-2503
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STRADLEY HAGERTY LLC is a general practice dentist in Greensburg, 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. STRADLEY HAGERTY LLC NPI is 1407061013. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Stradley Hagerty Llc.

The provider's business location address is:

112 E. TENTH ST
GREENSBURG, IN
ZIP 47240-202
Phone: (812) 663-2503
Fax: (812) 663-6665

The provider's authorized official is Lesley E Best .
The authorized official title is Financial Coordinator and has the following contact phone number (812) 663-2503.

The enumeration date for this NPI number is 5/14/2007 and was last updated on 5/29/2009.


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 Practice7386INDIANAYes

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
1200859770AMEDICAIDINDIANA

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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