Provider Demographics
NPI:1609286186
Name:BEAUTIFUL YOU FAMILY DENTAL
Entity Type:Organization
Organization Name:BEAUTIFUL YOU FAMILY DENTAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:
Authorized Official - Last Name:COLEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:765-914-9420
Mailing Address - Street 1:10485 N MICHIGAN RD
Mailing Address - Street 2:STE 150
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46032-7942
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10485 N MICHIGAN RD
Practice Address - Street 2:STE 150
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46032-7942
Practice Address - Country:US
Practice Address - Phone:317-875-7645
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-06
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011288A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty