A New Smile, P.C.
Organization Active NPI Dentist · Greenwood, IN
NPI 1295828135 · NPPES record last updated May 22, 2014
Key facts
- NPI
- 1295828135
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dentist 122300000X
- License
- 12010449 A (IN)
- Legal business name
- A NEW SMILE, P.C.
- Practice address
- 1700 W Smith Valley Rd Ste C2
Greenwood, IN 46142-1589 - Phone
- (317) 888-6684
- Fax
- (317) 888-6687
- NPI assigned
- Oct 2, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Patricia Jean New, D.D.S.
- Title
- Owner/Dentist
- Phone
- (317) 888-6684
Practitioners 2
-
Patricia Jean New, D.D.S.
-
Shane Lynn New, DDS
National Provider Directory
Locations
1700 W Smith Valley Rd
Ste C2
Greenwood, IN 46142
Phone (317) 888-6684
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist |
122300000X | 12010449 A | IN | Yes |
Addresses
Primary practice location
1700 W Smith Valley Rd Ste C2
Greenwood, IN 46142-1589
Mailing address
1700 W Smith Valley Rd Ste C2
Greenwood, IN 46142-1589
Phone (317) 888-6684
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1744673 | Other | IN | UNITED CONCORDIA ID # |
| 200532750 A | Medicaid | IN |
Other providers in Greenwood, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 22, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.