32 PEARLS (32 PEARLS FAMILY DENTISTRY, INC) NPI 1255712154

Dentist (General Practice) in Granger, IN

NPI 1255712154 Organization Dentist General Practice

About 32 PEARLS (32 PEARLS FAMILY DENTISTRY, INC)

32 Pearls (32 Pearls Family Dentistry, Inc) is a provider established in Granger, Indiana specializing in dentist (general practice) . The NPI number of 32 Pearls (32 Pearls Family Dentistry, Inc) is 1255712154 and was assigned on June 2015. The practitioner's primary taxonomy code is 1223G0001X with license number 12011066A (IN). The provider is registered as an organization and their NPI record was last updated 6 years ago. 32 Pearls (32 Pearls Family Dentistry, 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 32 Pearls. The authorized official of this NPI record is Dr. Avis Lorraine Barker D.m.d (Ceo/ Dentist)

A dentist like 32 Pearls is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

NPI

1255712154

Provider Name32 PEARLS (32 PEARLS FAMILY DENTISTRY, INC)
Provider Location Address15045 STATE ROAD 23 GRANGER, IN 46530
Provider Mailing Address15045 STATE ROAD 23 GRANGER, IN 46530
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Other Organization Name32 PEARLS
Other Name TypeDoing Business As (3)
Enumeration Date06-16-2015
Last Update Date06-16-2015


Primary Taxonomy

Taxonomy Code1223G0001X
ClassificationDentist
TypeDental Providers
SpecializationGeneral Practice
License No.12011066A
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

32 PEARLS
15045 STATE ROAD 23
GRANGER, IN
ZIP 46530
Phone: (574) 855-3829

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Mailing Address

32 PEARLS
15045 STATE ROAD 23
GRANGER, IN
ZIP 46530
Phone: (574) 855-3829



Authorized Official

Authorized Official NameDR. AVIS LORRAINE BARKER D.M.D
Authorized Official TitleCEO/ DENTIST
Authorized Official Phone(574) 855-3829

Group Taxonomy


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.

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.