Provider Demographics
NPI:1245637222
Name:HELMS, LANA R (DDS, MSD)
Entity type:Individual
Prefix:DR
First Name:LANA
Middle Name:R
Last Name:HELMS
Suffix:
Gender:F
Credentials:DDS, MSD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 N MERIDIAN ST
Mailing Address - Street 2:P.O. BOX 680
Mailing Address - City:WASHINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47501-2929
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
Is Sole Proprietor?:No
Enumeration Date:2014-11-19
Last Update Date:2014-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12009820122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200138530Medicaid