Provider Demographics
NPI:1609467968
Name:MEDDENT HEALTH LLC
Entity Type:Organization
Organization Name:MEDDENT HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:ADIL
Authorized Official - Middle Name:ABDUL
Authorized Official - Last Name:MAJID
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-881-8700
Mailing Address - Street 1:3089 W FAIRVIEW RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-8504
Mailing Address - Country:US
Mailing Address - Phone:317-881-8700
Mailing Address - Fax:317-881-9200
Practice Address - Street 1:3089 W FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-8504
Practice Address - Country:US
Practice Address - Phone:317-881-8700
Practice Address - Fax:317-881-9200
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-29
Last Update Date:2021-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty