Provider Demographics
NPI:1114481363
Name:BIGGS-HANSEN ORTHODONTICS
Entity Type:Organization
Organization Name:BIGGS-HANSEN ORTHODONTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ORTHODONTIST
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:C
Authorized Official - Last Name:BIGGS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS, MS
Authorized Official - Phone:317-846-1455
Mailing Address - Street 1:9333 N MERIDIAN ST STE 301
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-1825
Mailing Address - Country:US
Mailing Address - Phone:317-846-1455
Mailing Address - Fax:317-843-0626
Practice Address - Street 1:9333 N MERIDIAN ST STE 301
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46260-1825
Practice Address - Country:US
Practice Address - Phone:317-846-1455
Practice Address - Fax:317-843-0626
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BIGGS-HANSEN ORTHODONTICS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2019-01-22
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty