St Vincent Pediatric Subspecialties is a Orthodontics and Dentofacial Clinic in Indianapolis, Indiana. This organization is also known as sub part of St Vincent Hospital And Health Care Center Inc. It is located at 2001 W 86th St, Indianapolis, IN and its contact number is 317-338-2273. The authorized person for St Vincent Pediatric Subspecialties is Kevin Mcandrews
who is Vice President of the clinic and their contact number is 317-583-3194. The primary license number for St Vincent Pediatric Subspecialties is 050050751 (Pediatrics) in Indiana. St Vincent Pediatric Subspecialties Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
St Vincent Pediatric Subspecialties Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
St Vincent Pediatric Subspecialties
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
2001 W 86th St, Indianapolis, Indiana, 46260-1902
Phone:
317-338-2273
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Kevin Mcandrews
Position:
Vice President
Contact Number:
317-583-3194
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for St Vincent Pediatric Subspecialties clinic are as mentioned below.
NPI Number:
1013967736
Parent Organization:
St Vincent Hospital And Health Care Center Inc
NPI Enumeration Date:
11 May, 2006
NPI Last Update On:
17 Nov, 2014
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for St Vincent Pediatric Subspecialties are as mentioned below.
Specialization
License Number
State
Status
Pediatrics
050050751
Indiana
Primary
Orthodontics and Dentofacial Orthopedics
Secondary
Maternal & Fetal Medicine
Secondary
Pediatric Orthopaedic Surgery
Secondary
Pediatric Otolaryngology
Secondary
Adolescent Medicine
Secondary
Neonatal-Perinatal Medicine
Secondary
Pediatric Cardiology
Secondary
Pediatric Endocrinology
Secondary
Pediatric Hematology-Oncology
Secondary
Pediatric Pulmonology
Secondary
Physical Medicine & Rehabilitation
Secondary
Pediatric Surgery
Secondary
Hospitalist
Secondary
Nurse Practitioner
Secondary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
200505130P
Medicaid
Indiana
200901000B
Medicaid
Indiana
200505130M
Medicaid
Indiana
200505130S
Medicaid
Indiana
200505130U
Medicaid
Indiana
200505130Y
Medicaid
Indiana
200505130I
Medicaid
Indiana
200505130C
Medicaid
Indiana
200505130J
Medicaid
Indiana
200505130R
Medicaid
Indiana
200505130V
Medicaid
Indiana
200505130X
Medicaid
Indiana
200505130E
Medicaid
Indiana
200505130F
Medicaid
Indiana
200505130K
Medicaid
Indiana
200505130L
Medicaid
Indiana
200505130O
Medicaid
Indiana
200505130H
Medicaid
Indiana
200505130N
Medicaid
Indiana
200505130W
Medicaid
Indiana
2602026
Medicaid
Ohio
200505130B
Medicaid
Indiana
200505130D
Medicaid
Indiana
200505130T
Medicaid
Indiana
200505130Z
Medicaid
Indiana
200901000A
Medicaid
Indiana
200505130A
Medicaid
Indiana
200505130G
Medicaid
Indiana
200505130Q
Medicaid
Indiana
200901000C
Medicaid
Indiana
2645178
Medicaid
Ohio
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
St Vincent Pediatric Subspecialties 10330 N Meridian St, Suite 201 Indianapolis, Indiana
Zip:
46290-1024
Phone Number:
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Patients can reach St Vincent Pediatric Subspecialties at 2001 W 86th St, Indianapolis, Indiana or can call to book an appointment on 317-338-2273. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 December, 2024.