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1699115253 NPI number — CROWN HILL DENTISTRY LLC

NPI Number: 1699115253
Health Care Provider/Practitioner: CROWN HILL DENTISTRY LLC

Information about “1699115253” NPI (CROWN HILL DENTISTRY LLC) exists in 1699115253 in HTML format HTML  |  1699115253 in plain Text format TXT  |  1699115253 in PDF (Portable Document Format) PDF  |  1699115253 in an XML format XML  formats.

NPI Number : 1699115253 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1699115253",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "CROWN HILL DENTISTRY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1792 E STATE ROAD 163",
    "SecondLineMailingAddress": "PO BOX 408",
    "MailingAddressCityName": "CLINTON",
    "MailingAddressStateName": "IN",
    "MailingAddressPostalCode": "47842-7327",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "765-832-7741",
    "MailingAddressFaxNumber": "765-832-7743",
    "FirstLinePracticeLocationAddress": "1792 E STATE HIGHWAY 163",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "CLINTON",
    "PracticeLocationAddressStateName": "IN",
    "PracticeLocationAddressPostalCode": "47842-0160",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "765-832-7741",
    "PracticeLocationAddressFaxNumber": "765-832-7743",
    "EnumerationDate": "06/27/2013",
    "LastUpdateDate": "06/27/2013",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "CLOYD",
    "AuthorizedOfficialFirstName": "GEORGE",
    "AuthorizedOfficialMiddleName": "THOMAS",
    "AuthorizedOfficialTitle": "MANAGING PARTNER",
    "AuthorizedOfficialNamePrefix": "DR.",
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "DDS",
    "AuthorizedOfficialTelephoneNumber": "765-832-7741",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "122300000X",
        "TaxonomyName": "Dentist",
        "LicenseNumber": "12006928A",
        "LicenseNumberStateCode": "IN",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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