A L DEHAVEN DDS LLC - NPI 1003210204 - Dentist in Scottsburg, IN

Q: What is A L Dehaven Dds LLC's NPI number?

The NPI number for A L Dehaven Dds LLC is 1003210204. It was assigned to this organization in the NPPES registry on October 16, 2014.

Q: What is A L Dehaven Dds LLC's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

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About A L Dehaven Dds Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

A L DEHAVEN DDS LLC (NPI 1003210204) is a healthcare organization registered as a dentist in Scottsburg, Indiana and active in the NPI registry since October 2014. The organization lists Angela L Dehaven, Owner, as its authorized official.

NPPES Registry Identity

NPI1003210204

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameA L DEHAVEN DDS LLC

Location Address1366 N GARDNER ST, BOX 330Scottsburg, IN 47170-7793

Mailing Address3225 Nichol AveAnderson, IN 46011-3148 · (765) 642-7717 · Fax (765) 649-2111

Phone(812) 752-3524

Fax(812) 752-9195

Organization SubpartNo

Authorized OfficialAngela L DehavenOwner · (765) 623-6751

Enumeration DateOctober 16, 2014

✔ NPI 1003210204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IN · 12009405

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1366 N GARDNER ST, Scottsburg, IN 47170

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Group Practice 1

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

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SCOTT COUNTY LIMB & BRACE

Prosthetic/Orthotic Supplier

1366 N GARDNER ST, SUITE 100
SCOTTSBURG, IN 47170

Scott County (812) 752-1014

ROBERT C MAGUIRE, DMD, PC

Dentist (General Practice)