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FLANNAGAN-DA DENTAL LLC NPI 1437881224


NPI Information

NPI: 1437881224
Provider Name: FLANNAGAN-DA DENTAL, LLC

Doing Business As: LASTING IMPRESSIONS DENTAL LLC

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

Specialization: Dental

Address:
14649 N GRAY RD
WESTFIELD, IN
ZIP 46062
Phone: (317) 571-9610
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FLANNAGAN-DA DENTAL, LLC is a dental clinic center in Westfield, IN. FLANNAGAN-DA DENTAL, LLC NPI is 1437881224. The provider is registered as an organization entity type.
The provider Is Doing Business As Lasting Impressions Dental Llc.

The provider's business location address is:

14649 N GRAY RD
WESTFIELD, IN
ZIP 46062-274
Phone: (317) 571-9610

The provider's authorized official is Jamie Vilk .
The authorized official title is Manager and has the following contact phone number (217) 463-4110.

The enumeration date for this NPI number is 6/29/2022 and was last updated on 7/21/2022.


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
1261QD0000XClinic/CenterDentalYes

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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