NPI 1528408945 · live from the CMS NPI Registry
Imburgia Orthodontics LLC
Dentist, Orthodontics and Dentofacial Orthopedics in Plainfield, IN. National Provider Identifier 1528408945, active.
NPI record
| NPI | 1528408945 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Orthodontics and Dentofacial Orthopedics 1223X0400X |
| Practice location | 2230 Stafford Rd, Suite 157, Plainfield, IN 46168 |
| Practice phone | 317-296-5388 |
| Enumerated | June 29, 2013 |
| Last updated | July 1, 2013 |
| Authorized official | Anthony Imburgia, Sole Member |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center, Dental | 261QD0000X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics primary | 1223X0400X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.