Provider Demographics
NPI:1598874307
Name:LANA R HELMS DDS MSD PC
Entity Type:Organization
Organization Name:LANA R HELMS DDS MSD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:LANA
Authorized Official - Middle Name:R
Authorized Official - Last Name:HELMS
Authorized Official - Suffix:
Authorized Official - Credentials:DDS MSD
Authorized Official - Phone:812-254-4500
Mailing Address - Street 1:PO BOX 680
Mailing Address - Street 2:15 N MERIDIAN ST
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-0680
Mailing Address - Country:US
Mailing Address - Phone:812-254-4500
Mailing Address - Fax:812-254-1997
Practice Address - Street 1:15 N MERIDIAN ST
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:IN
Practice Address - Zip Code:47501-2929
Practice Address - Country:US
Practice Address - Phone:812-254-4500
Practice Address - Fax:812-254-1997
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-29
Last Update Date:2015-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009820122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200138530Medicaid
695115OtherUNITED CONCORDIA