COMPLETE SMILES, INC. NPI 1003001710

Dentist (General Practice) in Bluffton, IN

About COMPLETE SMILES, INC.

Complete Smiles, Inc. is a provider in Bluffton, IN. The NPI number assigned to this provider is 1003001710. The practitioner's primary taxonomy code is Dentist (1223G0001X). The provider is registered as an organization and their NPI record was last updated 11 years ago. Complete Smiles, Inc. operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The provider's is doing business as Laura Kukelhan, Dds.

NPI

1003001710

Provider NameCOMPLETE SMILES, INC.
Provider Location Address1133 N MAIN ST BLUFFTON, IN 46714
Provider Mailing Address1133 N MAIN ST BLUFFTON, IN 46714
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization NameLAURA KUKELHAN, DDS
Other Name TypeDoing Business As (3)
Enumeration Date09-06-2007
Last Update Date09-06-2007

Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.12010786
License StateIN
Taxonomy DescriptionA 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.

Business Address

COMPLETE SMILES, INC.
1133 N MAIN ST
BLUFFTON, IN
ZIP 46714
Phone: (260) 824-3100
Fax: (260) 824-0018

Get Directions

Mailing Address

COMPLETE SMILES, INC.
1133 N MAIN ST
BLUFFTON, IN
ZIP 46714
Phone: (260) 824-3100
Fax: (260) 824-0018

Authorized Official

Authorized Official Name VIKKI S. RUNYON
Authorized Official TitleSECRETARY
Authorized Official Phone(260) 824-3100

193400000X SINGLE SPECIALTY GROUP - This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Other Providers at the same location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730138280DR. KERRY ALAN SCHAMERLOH DDS
Individual
Dentist (General Practice)1133 N MAIN ST
BLUFFTON, IN 46714
(260) 824-3100
1780600361MRS. LAURA MARIE KUKELHAN DDS
Individual
Dentist (General Practice)1133 N MAIN ST
BLUFFTON, IN 46714
(260) 824-3100

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.

Previous NPI
1003001702
Next NPI
1003001728