Provider Demographics
NPI:1457704447
Name:CARINGSMILES 4U ADULT DENTISTRY, LLC
Entity Type:Organization
Organization Name:CARINGSMILES 4U ADULT DENTISTRY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/ DENTIST
Authorized Official - Prefix:DR
Authorized Official - First Name:JUANITA
Authorized Official - Middle Name:R
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:317-986-5930
Mailing Address - Street 1:4525 LAFAYETTE RD
Mailing Address - Street 2:SUITE C
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46254-2010
Mailing Address - Country:US
Mailing Address - Phone:317-986-5930
Mailing Address - Fax:317-968-9701
Practice Address - Street 1:4525 LAFAYETTE RD
Practice Address - Street 2:SUITE C
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-2010
Practice Address - Country:US
Practice Address - Phone:317-986-5930
Practice Address - Fax:317-968-9701
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-07-14
Last Update Date:2016-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN12011023A1223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty