NPI 1942370093 · live from the CMS NPI Registry
Dental Health Associates Of Indiana
Dentist, Pediatric Dentistry in Avon, IN. National Provider Identifier 1942370093, active.
NPI record
| NPI | 1942370093 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Dentist, Pediatric Dentistry 1223P0221X |
| Practice location | 8101 E Us Highway 36 Ste A, Avon, IN 46123 |
| Practice phone | 317-272-6990 |
| Mailing address | 12802 Townepark Way, Suite 100, Louisville, KY 40243 |
| Enumerated | November 8, 2006 |
| Last updated | October 10, 2016 |
| Authorized official | Tim Hoagland, Executive |
| Other names | Avon Gentle Dentlst |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist, General Practice | 1223G0001X | — |
| Dentist, Orthodontics and Dentofacial Orthopedics | 1223X0400X | — |
| Dentist, Pediatric Dentistry primary | 1223P0221X | 12012042 (IN) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.