Provider Demographics
NPI:1114137932
Name:DENTISTRY ON 116, INC.
Entity Type:Organization
Organization Name:DENTISTRY ON 116, INC.
Other - Org Name:DENTISTRY ON 116 AILEEN C. HELTON DDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AILEEN
Authorized Official - Middle Name:CASTOR
Authorized Official - Last Name:HELTON
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-575-8993
Mailing Address - Street 1:890 E 116TH ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-3475
Mailing Address - Country:US
Mailing Address - Phone:317-575-8993
Mailing Address - Fax:317-575-8987
Practice Address - Street 1:890 E 116TH ST
Practice Address - Street 2:SUITE 210
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-3475
Practice Address - Country:US
Practice Address - Phone:317-575-8993
Practice Address - Fax:317-575-8987
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-23
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12010254A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty